Active NPI
Kara Mullins, DDS
- Dentist
- Council Bluffs, IA
National Provider Identifier
1023372877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 09376
- Practice address
- 1026 Woodbury Ave
Council Bluffs, IA 51503-7915 - Phone
- (712) 847-8151
- NPI assigned
- Jun 26, 2012
- Last updated
- Nov 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7333 | NE | |
| Dentist | 122300000X | D13131 | MN | |
| Dentist | 122300000X | 09376 | IA | Primary |
Addresses
Primary practice location
1026 Woodbury Ave
Council Bluffs, IA 51503-7915
Mailing address
736 N 155TH Ave
Omaha, NE 68154-3764
Other practice location 1
1926 Collegeview Rd E
Hc116
Rochester, MN 55904-8201
Phone (507) 258-4046
Other names 1
- Dr. Kara Blobaum
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09376 | IA | MD | Dentist |
| 7333 | NE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Dental Care | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Rochester, MN
- NPI 1891100772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1023372877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 N 155TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 WOODBURY AVE",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515037915",
"telephone_number": "712-847-8151"
}
],
"practiceLocations": [
{
"address_1": "1926 Collegeview Rd E",
"address_2": "HC116",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559048201",
"country_code": "US",
"telephone_number": "507-258-4046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLINS",
"first_name": "KARA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-26",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7333",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D13131",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "09376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARA",
"last_name": "BLOBAUM",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.