DR. AARON R MULYADI D.M.D
NPI 1134565807
Dentist in Atlanta, GA

Q: What is Aaron Mulyadi's NPI number?

The NPI number for Aaron Mulyadi is 1134565807. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Q: What is Aaron Mulyadi'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 Aaron Mulyadi was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 21, 2013PECOS Enrolled

699 PONCE DE LEON AVE NE STE 1, ATLANTA, GA 30308(678) 221-4954 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Aaron R Mulyadi D.m.d NPPES

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

DR. AARON R MULYADI D.M.D (NPI 1134565807) is an individual dentist in Atlanta, Georgia, licensed in Georgia (DN123363) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134565807

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. AARON R MULYADICredential: D.M.D

Location Address699 PONCE DE LEON AVE NE STE 1Atlanta, GA 30308-1800

Mailing Address1160 Mckendree Park LnLawrenceville, GA 30043-7062 · (404) 374-5353

Phone(678) 221-4954

Sole ProprietorYes

Enumeration DateMay 21, 2013

Last NPPES UpdateMay 10, 2024

NPPES CertifiedMay 10, 2024

✔ NPI 1134565807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in GA · DN123363✔ Licensed in MA · DN1856246

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.

699 PONCE DE LEON AVE NE STE 1, Atlanta, GA 30308

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life 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. Aaron R Mulyadi D.m.d 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 30308 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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 Aaron Mulyadi's NPI number?

The NPI number for Aaron Mulyadi is 1134565807. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Aaron Mulyadi located?

Aaron Mulyadi practices at 699 Ponce De Leon Ave NE Ste 1, Atlanta, GA 30308. The listed phone number is (678) 221-4954.

What is Aaron Mulyadi's specialty?

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

Is Aaron Mulyadi enrolled in Medicare?

Yes. Aaron Mulyadi is registered in the Medicare PECOS enrollment system.

What insurance does Aaron Mulyadi accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 8 other insurers list Aaron Mulyadi 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 Aaron Mulyadi was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.