DR. JOHN WILLIAM HULTQUIST DMD, MD
NPI 1194710053
Dentist - Oral and Maxillofacial Surgery in Lackland A F B, TX

Active since September 16, 2005PECOS Enrolled
2200 BERGQUIST DR, SUITE 1, LACKLAND A F B, TX 78236(210) 292-5044(210) 292-4946 Get Directions Write a Review

NPPES record last updated: September 13, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194710053
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN WILLIAM HULTQUISTCredential: DMD, MD
Location Address2200 BERGQUIST DR, SUITE 1Lackland A F B, TX 78236-9907
Mailing Address2200 Bergquist Dr, Suite 1Lackland A F B, TX 78236-9907 · (210) 292-5044 · Fax (210) 292-4946
Fax(210) 292-4946
Sole ProprietorNo
Enumeration DateSeptember 16, 2005
Last NPPES UpdateSeptember 13, 2010
NPI 1194710053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in AL · 4705
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2200 BERGQUIST DR, Lackland A F B, TX 78236

Other Identifiers 1

Medicare UPINOTH000

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 William Hultquist Dmd, Md 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 78236 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 20

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

Psychologist (Clinical)
2200 BERGQUIST DR, STE. 1, LIFE SKILLS SUPPORT CENTER, 59 MDOS MMCM
LACKLAND A F B, TX 78236
Social Worker (Clinical)
2200 BERGQUIST DR, SUITE 1 ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Colon & Rectal Surgery
2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Pediatrics
2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Psychologist (Clinical)
2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Dentist (Prosthodontics)
2200 BERGQUIST DR, SUITE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Dentist (General Practice)
2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236
Psychologist (Clinical)
2200 BERGQUIST DR, SUITE 1, ATTN CREDENTIALS (CMC)
LACKLAND A F B, TX 78236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194710053, enumerated as an "individual" on September 16, 2005.

The provider is located at 2200 BERGQUIST DR SUITE 1 LACKLAND A F B, TX 78236 and the phone number is (210) 292-5044.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Alabama,. Please consult your insurance carrier or call the provider to verify.