Individual provider Active NPI

Bill J Mulliken, D.D.S.

  • Durable Medical Equipment & Medical Supplies
  • Mill Creek, WA
National Provider Identifier
1053330308
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
16030 Bothell Everett Hwy
Suite 280
Mill Creek, WA 98012-1741
Phone
(425) 481-4974
Fax
(425) 388-4930
NPI assigned
Jul 18, 2006
Last updated
Jan 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5460 WA
Durable Medical Equipment & Medical Supplies 332B00000X WA Primary

Addresses

Primary practice location

16030 Bothell Everett Hwy
Suite 280
Mill Creek, WA 98012-1741

Mailing address

16030 Bothell Everett Hwy
Suite 280
Mill Creek, WA 98012-1741
Phone (425) 481-4974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160401000198 WA Order and Referring Only - DentistPractitioner - Dentist 5395046650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5460WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
BJ Mulliken DDS PLLC Durable Medical Equipment & Medical Supplies CurrentSince Apr 1, 1981 Accepting new patients

Locations

16030 Bothell Hwy
Ste 280
Mill Creek, WA 98012
Phone (425) 481-4974

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1053330308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY",
            "address_2": "SUITE 280",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121741",
            "telephone_number": "425-481-4974",
            "fax_number": "425-388-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY",
            "address_2": "SUITE 280",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121741",
            "telephone_number": "425-481-4974",
            "fax_number": "425-388-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIKEN",
        "first_name": "BILL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5460",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.