Individual provider Active NPI

Denise Owens Mullinix, D.D.S

  • Dentist
  • Lexington Park, MD
National Provider Identifier
1013164466
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14236 Issued in MD
Practice address
22749 Maple Road
Lexington Park, MD 20653
Phone
(301) 863-8822
Fax
(301) 862-2351
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14236 MD Primary

Addresses

Primary practice location

22749 Maple Road
Lexington Park, MD 20653

Mailing address

22749 Maple Road
Lexington Park, MD 20653
Phone (301) 863-8822

Other names 1

  • Denise Carroll Chins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518001261 MD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9032408844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14236MDMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jenny O. Hawkins DDS PC CurrentSince Feb 8, 2023 Accepting new patients

Locations

22749 Maple Rd
Lexington Park, MD 20653
Phone (301) 863-8822

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1013164466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22749 MAPLE ROAD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "20653",
            "telephone_number": "301-863-8822",
            "fax_number": "301-862-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22749 MAPLE ROAD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "20653",
            "telephone_number": "301-863-8822",
            "fax_number": "301-862-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINIX",
        "first_name": "DENISE",
        "middle_name": "OWENS",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "CHINS",
            "middle_name": "CARROLL",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington Park, MD

Sources for this page

Verify at the official NPI Registry.