Damien A Mulvany, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105094 Issued in CO

Practice address

3627 S Pennsylvania St
Englewood, CO 80113-3753

Phone

(303) 781-0624

Fax

(303) 781-9551

NPI assigned

Jul 11, 2005

Reactivated

Mar 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Acacia Dental Group, P.C.

  • General Practice Dentistry
  • Englewood, CO
  • NPI 1588848568
  NPD (past)
• Sogand Fartash DDS PLLC

  dba Acacia Dental Group, PC

  • Developmental Disabilities Clinic/Center
  • Englewood, CO
  • NPI 1326719873
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093713398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 S PENNSYLVANIA ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133753",
            "telephone_number": "303-781-0624",
            "fax_number": "303-781-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 S PENNSYLVANIA ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133753",
            "telephone_number": "303-781-0624",
            "fax_number": "303-781-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULVANY",
        "first_name": "DAMIEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhu Mukkamala, BS., CNIM
• Natalie S Mul, PA-C
• Angela Mulcahy, RN BSN
• Patricia Mullane
• Jordan Mullins
• Molly Mulvey
• Brissa Mundo-Santacruz, MD
• Alina Munoz
• Meagan Murgel, APRN
• Caitlin Murphy, MA, LPC

• General Practice Dentistry in Englewood, CO
• Providers in Englewood, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.