Individual provider Active NPI

Christopher D Mullenix, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Mobile, AL
National Provider Identifier
1114088515
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4809 Issued in AL
Practice address
715 Downtowner Blvd
Mobile, AL 36609-5401
Phone
(251) 471-3381
Fax
(251) 471-3383
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4809 AL Primary

Addresses

Primary practice location

715 Downtowner Blvd
Mobile, AL 36609-5401

Mailing address

715 Downtowner Blvd
Mobile, AL 36609-5401
Phone (251) 471-3381

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4809ALMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Mullenix, DMD, MD, PC Oral and Maxillofacial Surgery Current Accepting new patients
Mobile-Oms, LLC Oral and Maxillofacial Surgery PastSince Nov 12, 2023 Accepting new patients

Locations

715 Downtowner Blvd
Mobile, AL 36609
Phone (251) 471-3381

3151 Dauphin St
Mobile, AL 36606
Phone (251) 287-9581

Organizations & group practices 2

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1114088515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 DOWNTOWNER BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095401",
            "telephone_number": "251-471-3381",
            "fax_number": "251-471-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DOWNTOWNER BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095401",
            "telephone_number": "251-471-3381",
            "fax_number": "251-471-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENIX",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "4809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.