DR. JOHN A BULLOCK DMD
NPI 1083866248
Dentist - General Practice in Wilsonville, OR

Q: What is John Bullock's NPI number?

The NPI number for John Bullock is 1083866248. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Q: What is John Bullock'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 John Bullock was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 21, 2008PECOS Enrolled

29292 SW TOWN CENTER LOOP E, WILSONVILLE, OR 97070(503) 682-0431(503) 682-3873 Get Directions Write a Review

NPPES record last updated: October 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. John A Bullock Dmd NPPES

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

DR. JOHN A BULLOCK DMD (NPI 1083866248) is an individual general practice provider in Wilsonville, Oregon, licensed in Oregon (D7370) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083866248

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHN A BULLOCKCredential: DMD

Location Address29292 SW TOWN CENTER LOOP EWilsonville, OR 97070-9491

Mailing Address29292 Sw Town Center Loop EWilsonville, OR 97070-9491 · (503) 682-0431 · Fax (503) 682-3873

Phone(503) 682-0431

Fax(503) 682-3873

Sole ProprietorNo

Enumeration DateOctober 21, 2008

✔ NPI 1083866248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D7370

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.

29292 SW TOWN CENTER LOOP E, Wilsonville, OR 97070

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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. John A Bullock 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 97070 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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 4

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

WILSONVILLE DENTAL GROUP

Dentist (General Practice)

29292 SW TOWN CENTER LOOP E
WILSONVILLE, OR 97070

Clackamas County (503) 682-0431

THOMAS CLARK DMD

Dentist (General Practice)

29292 SW TOWN CENTER LOOP E
WILSONVILLE, OR 97070

Clackamas County (506) 682-0431

DR. TERRENCE A CLARK DMD

Dentist (General Practice)

29292 SW TOWN CENTER LOOP E
WILSONVILLE, OR 97070

Clackamas County (503) 682-0431

WILSONVILLE DENTAL GROUP PC

Dentist (General Practice)

29292 SW TOWN CENTER LOOP E
WILSONVILLE, OR 97070

Clackamas County (503) 682-0431

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 John Bullock's NPI number?

The NPI number for John Bullock is 1083866248. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Where is John Bullock located?

John Bullock practices at 29292 SW Town Center Loop E, Wilsonville, OR 97070. The listed phone number is (503) 682-0431.

What is John Bullock's specialty?

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

Is John Bullock enrolled in Medicare?

Yes. John Bullock is registered in the Medicare PECOS enrollment system.

What insurance does John Bullock accept?

Health plans from PacificSource Health Plans list John Bullock 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 John Bullock was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.