NICOLETTE ANN HECITA BULAON DMD
NPI 1033890835
Dentist in Puyallup, WA

Q: What is Nicolette Bulaon's NPI number?

The NPI number for Nicolette Bulaon is 1033890835. It was assigned to this individual provider in the NPPES registry on July 26, 2023.

Q: What is Nicolette Bulaon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Nicolette Bulaon was last updated on May 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 July 26, 2023PECOS Enrolled

16810 MERIDIAN E STE J107, PUYALLUP, WA 98375(253) 848-7777 Get Directions Write a Review

NPPES record last updated: May 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2025, Jul 26, 2023 (2 updates tracked since 2023).

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About Nicolette Ann Hecita Bulaon Dmd NPPES

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

NICOLETTE ANN HECITA BULAON DMD (NPI 1033890835) is an individual dentist in Puyallup, Washington, licensed in Washington (DE61449731) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033890835

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameNICOLETTE ANN HECITA BULAONCredential: DMD

Location Address16810 MERIDIAN E STE J107Puyallup, WA 98375-9604

Mailing Address23000 Military Rd S Apt 3324Kent, WA 98032-1949 · (206) 201-4649

Phone(253) 848-7777

Sole ProprietorYes

Enumeration DateJuly 26, 2023

Last NPPES UpdateMay 18, 20252 updates tracked since enumeration

NPPES CertifiedMay 18, 2025

✔ NPI 1033890835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE61449731

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DE61449731 (WA)

16810 MERIDIAN E STE J107, Puyallup, WA 98375

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolette Ann Hecita Bulaon Dmd 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 98375 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 10

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

DR. JULIO E CHINCHILLA DDS

Dentist (Endodontics)