What is Mason Mcgillicuddy's NPI number?

Mason Mcgillicuddy's National Provider Identifier (NPI) is 1124557699, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mason Mcgillicuddy's specialty?

Mason Mcgillicuddy is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Mason Mcgillicuddy located?

Mason Mcgillicuddy's practice location on file with NPPES is 100 Cherry St Se, Grand Rapids, MI 49503-4526.

What is Mason Mcgillicuddy's phone number?

The practice phone number listed in the NPPES registry for Mason Mcgillicuddy is (616) 965-8200.

Does Mason Mcgillicuddy accept Medicare?

Mason Mcgillicuddy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Mason Mcgillicuddy's NPI active?

Yes — Mason Mcgillicuddy's NPI (1124557699) is active in the NPPES registry as of the last update on 2017-06-08.

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Mason Mcgillicuddy, DDS

NPI 1124557699 · Dentist · Grand Rapids, MI

Mason Mcgillicuddy, DDS is a Dentist provider in Grand Rapids, MI (NPI 1124557699).

Provider details

NPI number: 1124557699
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: UNKNOWN (MI)

Practice location

100 Cherry St Se

Grand Rapids, MI 49503-4526

Phone: (616) 965-8200

Fax: (616) 940-5366

Street-level locationGet directions

More MI providers

Mailing address

100 Cherry St Se

Grand Rapids, MI 49503-4526

Specialties & taxonomies

DentistPrimary122300000XLicense UNKNOWN (MI)
Dental Providers

Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(70/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2017-06-08
Last updated: 2017-06-08

Frequently asked questions

What is Mason Mcgillicuddy's NPI number?: Mason Mcgillicuddy's National Provider Identifier (NPI) is 1124557699, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Mason Mcgillicuddy's specialty?: Mason Mcgillicuddy is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
Where is Mason Mcgillicuddy located?: Mason Mcgillicuddy's practice location on file with NPPES is 100 Cherry St Se, Grand Rapids, MI 49503-4526.
What is Mason Mcgillicuddy's phone number?: The practice phone number listed in the NPPES registry for Mason Mcgillicuddy is (616) 965-8200.
Does Mason Mcgillicuddy accept Medicare?: Mason Mcgillicuddy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Mason Mcgillicuddy's NPI active?: Yes — Mason Mcgillicuddy's NPI (1124557699) is active in the NPPES registry as of the last update on 2017-06-08.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions