Organization Active NPI

McCullum Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jeffersonville, IN
National Provider Identifier
1629911383
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MCCULLUM ORTHODONTICS
Practice address
430 Patrol Rd
Jeffersonville, IN 47130-7754
Phone
(812) 213-9300
Fax
(812) 213-9305
NPI assigned
Apr 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather McCullum, DMDNPI 1306165758
Title
Orthodontist
Phone
(812) 213-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

430 Patrol Rd
Jeffersonville, IN 47130-7754

Mailing address

430 Patrol Rd
Jeffersonville, IN 47130-7754
Phone (812) 213-9300

National Provider Directory

National Provider Directory

Locations

430 Patrol Rd
Jeffersonville, IN 47130
Phone (812) 213-9300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1629911383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 PATROL RD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307754",
            "telephone_number": "812-213-9300",
            "fax_number": "812-213-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PATROL RD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307754",
            "telephone_number": "812-213-9300",
            "fax_number": "812-213-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLUM ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "MCCULLUM",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "812-213-9300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.