FULBRIGHT DENTAL GROUP, PC
NPI 1336384619
Dentist - General Practice in Los Angeles, CA
About Fulbright Dental Group, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FULBRIGHT DENTAL GROUP, PC (NPI 1336384619) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since December 2008. The organization lists Robert S Mathuny, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fulbright Dental Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Fulbright Dental Group, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fulbright Dental Group, PC's NPI number?
The NPI number for Fulbright Dental Group, PC is 1336384619. It was assigned to this organization in the NPPES registry on December 15, 2008.
Where is Fulbright Dental Group, PC located?
Fulbright Dental Group, PC is located at 5220 Pacific Concourse Dr Suite #120, Los Angeles, CA 90045. The listed phone number is (800) 373-5400.
What is Fulbright Dental Group, PC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Fulbright Dental Group, PC enrolled in Medicare?
Yes. Fulbright Dental Group, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fulbright Dental Group, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 2 Medicare specialties reassign their Medicare billing to Fulbright Dental Group, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dentist (12) and Oral Surgery (6). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Fulbright Dental Group, PC accept?
Health plans from UnitedHealthcare list Fulbright Dental Group, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Fulbright Dental Group, PC was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fulbright Dental Group, Pc · NPI 1336384619
General Practice organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since December 15, 2008.
## Identity
- **NPI:** 1336384619 (Entity type: Organization)
- **Enumerated:** December 15, 2008
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** Robert Mathuny, CFO
## Practice location
- **Address:** 5220 PACIFIC CONCOURSE DR, SUITE #120, Los Angeles, CA 90045-6277
- **Phone:** (800) 373-5400 · **Fax:** (888) 492-2900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dentist (12), Oral Surgery (6); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2022
- **Other identifiers:** Medicaid 47898 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1336384619) · Data from the CMS NPPES public registry.