DR. ANDREW ROBERT MULLENDORE D.D.S., M.D.
NPI 1649214164
Dentist - Oral and Maxillofacial Surgery in Columbus, OH
About Dr. Andrew Robert Mullendore D.d.s., M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW ROBERT MULLENDORE D.D.S., M.D. (NPI 1649214164) is an individual oral and maxillofacial surgery provider in Columbus, Ohio, licensed in Ohio (30-023253) and active in the NPI registry since June 2006. He has opted out of Medicare through January 19, 2027.
NPPES Registry Identity
Specialties & Licenses 3
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. Andrew Robert Mullendore D.d.s., M.d. 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 January 19, 2023 through January 19, 2027.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Andrew Mullendore's NPI number?
The NPI number for Andrew Mullendore is 1649214164. It was assigned to this individual provider in the NPPES registry on June 15, 2006.
Where is Andrew Mullendore located?
Andrew Mullendore practices at 6555 E Broad St, Columbus, OH 43213. The listed phone number is (614) 427-0400.
What is Andrew Mullendore's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Andrew Mullendore enrolled in Medicare?
No. Andrew Mullendore has opted out of Medicare through January 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Andrew Mullendore accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 14 other insurers list Andrew Mullendore 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 Andrew Mullendore was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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. Andrew Robert Mullendore, D.D.S., M.D. · NPI 1649214164
Oral and Maxillofacial Surgery provider in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since June 15, 2006.
## Identity
- **NPI:** 1649214164 (Entity type: Individual)
- **Enumerated:** June 15, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 30-023253 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 6555 E BROAD ST, Columbus, OH 43213-1509
- **Phone:** (614) 427-0400
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 19, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** December 13, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1649214164) · Data from the CMS NPPES public registry.