Individual provider Active NPI

Jessica Anne Mahlmann, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bakersfield, CA
National Provider Identifier
1013575240
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
103718 Issued in CA
Practice address
3401 Coffee Rd
Bakersfield, CA 93308-5079
Phone
(661) 695-3044
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 103718 CA Primary

Addresses

Primary practice location

3401 Coffee Rd
Bakersfield, CA 93308-5079

Mailing address

10910 Golden Valley Dr
Bakersfield, CA 93311-9122
Phone (805) 208-8225

Other practice location 1

730 Woollomes Ave
Delano, CA 93215-9550
Phone (661) 370-4401

Other practice location 2

1201 24th St Ste A
Bakersfield, CA 93301-2300
Phone (661) 281-0314

Other names 1

  • Dr. Jessica Anne Pilloni Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103718CAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1013575240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 GOLDEN VALLEY DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119122",
            "telephone_number": "805-208-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 COFFEE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085079",
            "telephone_number": "661-695-3044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Woollomes Ave",
            "address_purpose": "LOCATION",
            "city": "Delano",
            "state": "CA",
            "postal_code": "932159550",
            "country_code": "US",
            "telephone_number": "661-370-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 24th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933012300",
            "country_code": "US",
            "telephone_number": "661-281-0314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHLMANN",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "103718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PILLONI",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.