NPIMap

Organization Active NPI

Dr. Natasha K Mulko, DDS, LLC

  • Endodontics
  • Vienna, VA
National Provider Identifier
1184063141
Registry record updated Jun 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401413840 Issued in VA
Legal business name
DR. NATASHA K MULKO, DDS, LLC
Practice address
8310 Old Courthouse Rd
Suite 100
Vienna, VA 22182-3872
Phone
(703) 356-0250
NPI assigned
Jun 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2013

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

Authorized official

Name
Dr. Natasha Mulko, DDS
Title
Dentist
Phone
(703) 356-0250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 0401413840 VA Primary

Addresses

Primary practice location

8310 Old Courthouse Rd
Suite 100
Vienna, VA 22182-3872

Mailing address

8310 Old Courthouse Rd
Suite 100
Vienna, VA 22182-3872
Phone (703) 356-0250

National Provider Directory

National Provider Directory

Locations

8310 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 356-0250

NPI Registry JSON

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371859200000",
    "number": "1184063141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 OLD COURTHOUSE RD",
            "address_2": "SUITE 100",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823872",
            "telephone_number": "703-356-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 OLD COURTHOUSE RD",
            "address_2": "SUITE 100",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823872",
            "telephone_number": "703-356-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NATASHA K MULKO, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-22",
        "last_updated": "2013-06-22",
        "status": "A",
        "authorized_official_last_name": "MULKO",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-356-0250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401413840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2013; 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.