DR. DAVID ROY PULIDO DDS
NPI 1588757173
Dentist - General Practice in Stockton, CA

Q: What is David Pulido's NPI number?

The NPI number for David Pulido is 1588757173. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is David Pulido's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for David Pulido was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 02, 2006PECOS Enrolled

1811 GRAND CANAL BLVD, SUITE 1, STOCKTON, CA 95207(209) 474-2340(209) 474-2340 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. David Roy Pulido Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID ROY PULIDO DDS (NPI 1588757173) is an individual general practice provider in Stockton, California, licensed in California (DJ035969) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588757173

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DAVID ROY PULIDOCredential: DDS

Location Address1811 GRAND CANAL BLVD, SUITE 1Stockton, CA 95207-8107

Mailing Address1811 Grand Canal Blvd, Suite 1Stockton, CA 95207-8107 · (209) 474-2340 · Fax (209) 474-2340

Phone(209) 474-2340

Fax(209) 474-2340

Sole ProprietorYes

Enumeration DateOctober 2, 2006

Last NPPES UpdateMarch 8, 2023

NPPES CertifiedMarch 8, 2023

✔ NPI 1588757173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · DJ035969

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1811 GRAND CANAL BLVD, Stockton, CA 95207

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Roy Pulido Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARISSA PERRY

Behavior Technician