Dorthe H Mullins, RDH

Primary specialty

SpecialistTaxonomy code 174400000X

License

00004920 Issued in WA

Practice address

2630 77TH Ave SE # 128
Mercer Island, WA 98040-4053

Phone

(206) 949-9074

NPI assigned

Dec 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1003411562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980400128",
            "telephone_number": "206-949-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 77TH AVE SE # 128",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404053",
            "telephone_number": "206-949-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "DORTHE",
        "middle_name": "H",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "00004920",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "00004920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin L. Miller, MSW, LICSW
• Miracle Island PLLC
• Neeti Mittal, MD
• Michelle Emily Modad
• Rachel Morin, DPT
• Nadeem Merchant DMD, PS
• Rebecca Nebel, ARNP
• Jodi Negrin
• Neil F Schneider MD Inc PS
• Nicole Marie Nelson, P.T.

• Specialist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.