DR. WILLIE JAMES MCCULLUM DDS
NPI 1083622971
Dentist in Tacoma, WA

Q: What is Willie Mccullum's NPI number?

The NPI number for Willie Mccullum is 1083622971. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is Willie Mccullum'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 Willie Mccullum was last updated on March 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 August 04, 2006PECOS Enrolled

4002 SOUTH 'M' STREET, SUITE A, TACOMA, WA 98418(253) 474-0606(253) 476-3901 Get Directions Write a Review

NPPES record last updated: March 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Willie James Mccullum Dds NPPES

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

DR. WILLIE JAMES MCCULLUM DDS (NPI 1083622971) is an individual dentist in Tacoma, Washington, licensed in Washington (6326) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083622971

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. WILLIE JAMES MCCULLUMCredential: DDS

Location Address4002 SOUTH 'M' STREET, SUITE ATacoma, WA 98418

Mailing Address4002 South 'm' Street, Suite ATacoma, WA 98418 · (253) 474-0606 · Fax (253) 476-3901

Phone(253) 474-0606

Fax(253) 476-3901

Sole ProprietorNo

Enumeration DateAugust 4, 2006

Last NPPES UpdateMarch 3, 2010

✔ NPI 1083622971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · 6326

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.

4002 SOUTH 'M' STREET, Tacoma, WA 98418

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Accepted Insurance

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

Dr. Willie James Mccullum 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 98418 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.

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 Willie Mccullum's NPI number?

The NPI number for Willie Mccullum is 1083622971. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Willie Mccullum located?

Willie Mccullum practices at 4002 South 'm' Street Suite A, Tacoma, WA 98418. The listed phone number is (253) 474-0606.

What is Willie Mccullum's specialty?

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

Is Willie Mccullum enrolled in Medicare?

Yes. Willie Mccullum is registered in the Medicare PECOS enrollment system.

What insurance does Willie Mccullum accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Willie Mccullum 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 Willie Mccullum was last updated on March 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.