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

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: July 19, 2026.

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
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

Accepted 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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97070 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.51
  • Minimum New Patient Price $58.99
  • Maximum New Patient Price $176.88
  • Average New Patient Copayment $22.62
  • Minimum New Patient Copayment $14.74
  • Maximum New Patient Copayment $44.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $73.28
  • Minimum Established Patient Price $19.32
  • Maximum Established Patient Price $144.79
  • Average Established Patient Copayment $18.32
  • Minimum Established Patient Copayment $4.83
  • Maximum Established Patient Copayment $36.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (General Practice)
29292 SW TOWN CENTER LOOP E
WILSONVILLE, OR 97070
Dentist (General Practice)
29292 SW TOWN CENTER LOOP E
WILSONVILLE, OR 97070
Dentist (General Practice)
29292 SW TOWN CENTER LOOP E
WILSONVILLE, OR 97070
Dentist (General Practice)
29292 SW TOWN CENTER LOOP E
WILSONVILLE, OR 97070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083866248, enumerated as an "individual" on October 21, 2008.

The provider is located at 29292 SW TOWN CENTER LOOP E WILSONVILLE, OR 97070 and the phone number is (503) 682-0431.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.