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DR. RYAN MICHAEL MULLIGAN DDS
NPI 1275193229
Dentist - General Practice in Saint Louis, MO

Active since June 20, 2019PECOS Enrolled
4527 FOREST PARK AVE, SAINT LOUIS, MO 63108(314) 367-7200(314) 367-0508 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2021, Jun 20, 2019 (2 updates tracked since 2019).

About Dr. Ryan Michael Mulligan Dds NPPES

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

DR. RYAN MICHAEL MULLIGAN DDS (NPI 1275193229) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2019021896) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275193229
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RYAN MICHAEL MULLIGANCredential: DDS
Location Address4527 FOREST PARK AVESaint Louis, MO 63108-2113
Mailing Address7040 Waterman AveUniversity City, MO 63130-4323 · (314) 359-1682
Phone(314) 367-7200
Fax(314) 367-0508
Sole ProprietorYes
Enumeration DateJune 20, 2019
Last NPPES UpdateAugust 23, 20212 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1275193229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2019021896
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 2019021896 (MO)
4527 FOREST PARK AVE, Saint Louis, MO 63108
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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. Ryan Michael Mulligan 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 63108 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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. ERIC J AUBERT DMD
Dentist (General Practice)
4527 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 367-7200
JACK W. HANEY, D.D.S., P.C.
Dentist (General Practice)
4527 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 367-7200
RAZA SIDDIQUI DMD
Dentist (General Practice)
4527 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 858-5750
RYAN MCCORMICK
Dentist (General Practice)
4527 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 858-5750

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 Ryan Mulligan's NPI number?

The NPI number for Ryan Mulligan is 1275193229. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Ryan Mulligan located?

Ryan Mulligan practices at 4527 Forest Park Ave, Saint Louis, MO 63108. The listed phone number is (314) 367-7200.

What is Ryan Mulligan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ryan Mulligan enrolled in Medicare?

Yes. Ryan Mulligan is registered in the Medicare PECOS enrollment system.

What insurance does Ryan Mulligan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 14 other insurers list Ryan Mulligan 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 Ryan Mulligan was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.