Active NPI
Tony Lewis Mullins, D.D.S.
- General Practice Dentistry
- Richardson, TX
National Provider Identifier
1144462045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12042
- Practice address
- 1729 Analog Dr
Richardson, TX 75081-1944 - Phone
- (972) 437-0200
- Fax
- (972) 437-0035
- NPI assigned
- Mar 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12042 | TX | Primary |
Addresses
Primary practice location
1729 Analog Dr
Richardson, TX 75081-1944
Mailing address
4501 Tall Oaks CT
Edmond, OK 73025-2334
Phone (405) 471-1380
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12042 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental & Beyond PC | 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 and National Provider Directory roles.
-
- Dentist
- Richardson, TX
- NPI 1861562316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1144462045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 TALL OAKS CT",
"city": "EDMOND",
"state": "OK",
"postal_code": "730252334",
"telephone_number": "405-471-1380",
"fax_number": "405-359-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1729 ANALOG DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750811944",
"telephone_number": "972-437-0200",
"fax_number": "972-437-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "TONY",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-24",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "12042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.