DR. CHRISTINA MARIE MCCULLOUGH DDS
NPI 1730390063
Dentist - General Practice in Maple Grove, MN

Q: What is Christina Mccullough's NPI number?

The NPI number for Christina Mccullough is 1730390063. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Q: What is Christina Mccullough's specialty?

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

Active since May 25, 2007PECOS Enrolled

15785 95TH AVE N, MAPLE GROVE, MN 55369(763) 420-5484 Get Directions Write a Review

NPPES record last updated: August 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Christina Marie Mccullough Dds NPPES

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

DR. CHRISTINA MARIE MCCULLOUGH DDS (NPI 1730390063) is an individual general practice provider in Maple Grove, Minnesota, licensed in Minnesota (D12386) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730390063

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CHRISTINA MARIE MCCULLOUGHCredential: DDS

Location Address15785 95TH AVE NMaple Grove, MN 55369-4404

Mailing Address15785 95th Ave NMaple Grove, MN 55369-4404 · (763) 420-5484

Phone(763) 420-5484

Sole ProprietorNo

Enumeration DateMay 25, 2007

Last NPPES UpdateAugust 12, 2013

✔ NPI 1730390063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · D12386

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.

15785 95TH AVE N, Maple Grove, MN 55369

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Christina Marie Mccullough 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 55369 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 14

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

DR. JAMES MICHAEL HEALY DDS

Dentist (General Practice)