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DR. JOHN GORDON MULLALLY DDS
NPI 1164541892
Dentist - Endodontics in Lutherville, MD

Active since March 27, 2007PECOS Enrolled
1407 YORK RD STE 210, LUTHERVILLE, MD 21093(410) 821-5553(410) 825-7213 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Gordon Mullally Dds NPPES

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

DR. JOHN GORDON MULLALLY DDS (NPI 1164541892) is an individual endodontics provider in Lutherville, Maryland, licensed in Maryland (12805) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164541892
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JOHN GORDON MULLALLYCredential: DDS
Location Address1407 YORK RD STE 210Lutherville, MD 21093-6042
Mailing Address1407 York Rd Ste 210Lutherville, MD 21093-6042 · (410) 821-5553 · Fax (410) 825-7213
Phone(410) 821-5553
Fax(410) 825-7213
Sole ProprietorYes
Enumeration DateMarch 27, 2007
Last NPPES UpdateFebruary 5, 2019
✔ NPI 1164541892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MD · 12805
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1407 YORK RD STE 210, Lutherville, MD 21093
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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 Alabama 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. John Gordon Mullally 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 21093 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

DR. JUDY YUDITA MELAMED D.D.S.
Dentist (Endodontics)
1407 YORK RD STE 210
LUTHERVILLE, MD 21093
Baltimore County (410) 821-5553
ENDODONTIC PARTNERS LLC
Dentist (Endodontics)
1407 YORK RD STE 210
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 821-5553
JOHN MULLALLY
Dentist (Endodontics)
1407 YORK RD STE 210
LUTHERVILLE, MD 21093
Baltimore County (410) 821-5553
MELAMED ENDODONTICS LLC
Dentist (Endodontics)
1407 YORK RD STE 210
LUTHERVILLE, MD 21093
Baltimore County (410) 821-5553

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 Mullally's NPI number?

The NPI number for John Mullally is 1164541892. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is John Mullally located?

John Mullally practices at 1407 York Rd Ste 210, Lutherville, MD 21093. The listed phone number is (410) 821-5553.

What is John Mullally's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is John Mullally enrolled in Medicare?

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

What insurance does John Mullally accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list John Mullally 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 Mullally was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.