Active NPI
Richard Arthur Bullock DDS
- Dentist
- Rancho Mirage, CA
National Provider Identifier
1962899666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 028127
- Legal business name
- RICHARD ARTHUR BULLOCK DDS
- Practice address
- 72027 Desert Dr
Rancho Mirage, CA 92270-4959 - Phone
- (760) 340-5107
- Fax
- (760) 340-0315
- NPI assigned
- Apr 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Arthur Bullock, DDS
- Title
- Owner
- Phone
- (760) 340-5107
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 028127 | CA | Primary |
Addresses
Primary practice location
72027 Desert Dr
Rancho Mirage, CA 92270-4959
Mailing address
72027 Desert Dr
Rancho Mirage, CA 92270-4959
Phone (760) 340-5107
National Provider Directory
National Provider DirectoryLocations
72027 Desert Dr
Rancho Mirage, CA 92270
Phone (760) 340-5107
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Rancho Mirage, CA
- NPI 1801274345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429488000000",
"number": "1962899666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72027 DESERT DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704959",
"telephone_number": "760-340-5107",
"fax_number": "760-340-0315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72027 DESERT DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704959",
"telephone_number": "760-340-5107",
"fax_number": "760-340-0315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD ARTHUR BULLOCK DDS",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-20",
"last_updated": "2015-04-20",
"status": "A",
"authorized_official_last_name": "BULLOCK",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "ARTHUR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-340-5107",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "028127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
- Dusanka Rose Marie Reynolds, PHD
- Reza Nazemi, MD, a Professional Corporation
- Ricardo G Cacdac MD a Professional Corp
- Julie Anhalt Rice, MFT, PSYD
- Richard a Stone, M.D., a Professional Corporation
- Richard E. Fausel, D.O, a Professional Corporation
- Holly Richardson, FNP
- Kevin E. Richardson, O.T.R., CHT. PH.D.
- Patti H Richardson, MD
- Todd Richardson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.