Marcy Munday, OPA

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

1055 E Stewart Ave BLDG 2018
Colorado Springs, CO 80914-2900

Phone

(719) 556-1238

NPI assigned

Oct 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1154928869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 SISKIN LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809514756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 E STEWART AVE BLDG 2018",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809142900",
            "telephone_number": "719-556-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDAY",
        "first_name": "MARCY",
        "credential": "OPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "15030223705",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://conus.dencom.army.mil/CDSHome/Home/Index/true",
            "affiliation": "N",
            "address_1": "1055 E Stewart Ave Bldg 2018",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809142900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rosemary Kathleen Mulligan, APRN
• Cassidy Aeryn Mullins
• Jamie Lynn Mullins, PA-C
• Izabeth Mumford
• Donna Lynn Mumma, MD
• Gina Marie Mundell, FNP
• Allifair Renee Mundine
• Clarisa Muniz
• Sarah MJ Munk, MA, NCC
• Cahil D Munn, IDMT

• Dental Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dental Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.