Active NPI
Erin Kathleen Mullowney, DMD
- Dentist
- Suffolk, VA
National Provider Identifier
1205722295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401419511
- Practice address
- 1301 Bridgeport Way Ste 109
Suffolk, VA 23435-1960 - Phone
- (757) 484-1444
- NPI assigned
- Jun 16, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401419511 | VA | Primary |
Addresses
Primary practice location
1301 Bridgeport Way Ste 109
Suffolk, VA 23435-1960
Mailing address
1301 Bridgeport Way Ste 109
Suffolk, VA 23435-1960
Phone (757) 484-1444
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 |
|---|---|---|---|
| 0401419511 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1205722295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BRIDGEPORT WAY STE 109",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234351960",
"telephone_number": "757-484-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BRIDGEPORT WAY STE 109",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234351960",
"telephone_number": "757-484-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLOWNEY",
"first_name": "ERIN",
"middle_name": "KATHLEEN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-16",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "VA",
"license": "0401419511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.