DR. JOHN WILLIAM HULTQUIST DMD, MD
NPI 1194710053
Dentist - Oral and Maxillofacial Surgery in Lackland A F B, TX
About Dr. John William Hultquist Dmd, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN WILLIAM HULTQUIST DMD, MD (NPI 1194710053) is an individual oral and maxillofacial surgery provider in Lackland A F B, Texas, licensed in Alabama (4705) and active in the NPI registry since September 2005. He has opted out of Medicare through April 23, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. John William Hultquist Dmd, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 23, 2026 through April 23, 2028.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
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 Hultquist's NPI number?
The NPI number for John Hultquist is 1194710053. It was assigned to this individual provider in the NPPES registry on September 16, 2005.
Where is John Hultquist located?
John Hultquist practices at 2200 Bergquist Dr Suite 1, Lackland A F B, TX 78236. The listed phone number is (210) 292-5044.
What is John Hultquist's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is John Hultquist enrolled in Medicare?
No. John Hultquist has opted out of Medicare through April 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does John Hultquist accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list John Hultquist 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 Hultquist was last updated on September 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. John William Hultquist, DMD, MD · NPI 1194710053
Oral and Maxillofacial Surgery provider in Lackland A F B, Texas. Individual provider, active in the CMS NPPES registry since September 16, 2005.
## Identity
- **NPI:** 1194710053 (Entity type: Individual)
- **Enumerated:** September 16, 2005
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 4705 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 2200 BERGQUIST DR, SUITE 1, Lackland A F B, TX 78236-9907
- **Phone:** (210) 292-5044 · **Fax:** (210) 292-4946
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 23, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 13, 2010
- **Other identifiers:** Medicare UPIN OTH000
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Source: [NPI Profile](https://npiprofile.com/npi/1194710053) · Data from the CMS NPPES public registry.