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DR. JOHN M MCCULLUM DDS, MPH
NPI 1912496613
Oral & Maxillofacial Surgery in Austin, TX

Active since May 08, 2018
12210 PECAN ST, AUSTIN, TX 78727(512) 258-1636 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 6, 2025, Sep 10, 2024, Jun 3, 2019 and 2 more (5 updates tracked since 2018).

About Dr. John M Mccullum Dds, Mph NPPES

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

DR. JOHN M MCCULLUM DDS, MPH (NPI 1912496613) is an individual oral & maxillofacial surgery provider in Austin, Texas, licensed in Texas (40755) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1912496613
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. JOHN M MCCULLUMCredential: DDS, MPH
Location Address12210 PECAN STAustin, TX 78727-6109
Mailing Address12210 Pecan StAustin, TX 78727-6109
Phone(512) 258-1636
Sole ProprietorNo
Enumeration DateMay 8, 2018
Last NPPES UpdateOctober 6, 20255 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1912496613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in TX · 40755
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 40755 (TX)
12210 PECAN ST, Austin, TX 78727
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

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.

DR. DALE MARK GALLAGHER D.D.S.
Dentist (Oral and Maxillofacial Surgery)
12210 PECAN ST
AUSTIN, TX 78727
Travis County (512) 258-1636
DALE M. GALLAGHER, D.D.S., P.A.
Dentist (Oral and Maxillofacial Surgery)
12210 PECAN ST
AUSTIN, TX 78727
Travis County (512) 258-1636

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 John Mccullum's NPI number?

The NPI number for John Mccullum is 1912496613. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is John Mccullum located?

John Mccullum practices at 12210 Pecan St, Austin, TX 78727. The listed phone number is (512) 258-1636.

What is John Mccullum's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

What insurance does John Mccullum accept?

Health plans from Humana list John Mccullum 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 John Mccullum was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.