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JOSHUA BULLOCK DMD
NPI 1245734508
Dentist - Pediatric Dentistry in Springfield, MO

Active since March 21, 2018PECOS Enrolled
1802 W KEARNEY ST, SPRINGFIELD, MO 65803(417) 567-8227 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2022, Aug 6, 2021, Oct 8, 2020 and 2 more (5 updates tracked since 2018).

About Joshua Bullock Dmd NPPES

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

JOSHUA BULLOCK DMD (NPI 1245734508) is an individual pediatric dentistry provider in Springfield, Missouri, licensed in Missouri (2020011311) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pittsburg.

NPPES Registry Identity

NPI1245734508
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameJOSHUA BULLOCKCredential: DMD
Location Address1802 W KEARNEY STSpringfield, MO 65803-1647
Mailing AddressPo Box 1832Pittsburg, KS 66762-1832 · (620) 231-9873
Phone(417) 567-8227
Sole ProprietorYes
Enumeration DateMarch 21, 2018
Last NPPES UpdateMarch 26, 20245 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1245734508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in MO · 2020011311✔ Licensed in KS · 61581
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1802 W KEARNEY ST, Springfield, MO 65803
Open in Google Maps ↗

Secondary Practice Location 1

Location 13011 N Michigan StPittsburg, KS 66762-2546 · Phone (620) 231-9873

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 Kansas, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua 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.

Medicare Billing Reassignment

Medicare enrollment records show Joshua Bullock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Center Of Southeast Kansas, Inc.
76 mi
Federally Qualified Health Center (FQHC)
1011 S MOUNT CARMEL PL
Pittsburg, KS 66762
  • Reassigned Medicare billing, Kansas enrollment
  • 177 clinicians in this Medicare group
NPI 1427677723 (620) 231-9873

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65803 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 2

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

SPRINGFIELD KIDS DENTAL PLLC
Dentist
1802 W KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (918) 998-0996
CAILEEN BRITTANY SYLVESTER DMD
Dentist (Pediatric Dentistry)
1802 W KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 567-8227

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 Joshua Bullock's NPI number?

The NPI number for Joshua Bullock is 1245734508. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Joshua Bullock located?

Joshua Bullock practices at 1802 W Kearney St, Springfield, MO 65803. The listed phone number is (417) 567-8227.

What is Joshua Bullock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Joshua Bullock enrolled in Medicare?

Yes. Joshua Bullock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joshua Bullock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Bullock reassigns Medicare benefits to Community Health Center Of Southeast Kansas, Inc. (Pittsburg, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joshua Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Bullock accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 17 other insurers list Joshua Bullock 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 Joshua Bullock was last updated on March 26, 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.