Sarah Mulloy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6887-15 Issued in WI

Practice address

801 Milwaukee Ave
South Milwaukee, WI 53172-2115

Phone

(414) 762-2300

NPI assigned

May 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bright Smiles Family Dentsitry, LLC

  • Dentist
  • South Milwaukee, WI
  • NPI 1053757096
  NPD (past) Authorized official

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1245590777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MILWAUKEE AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531722115",
            "telephone_number": "414-762-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MILWAUKEE AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531722115",
            "telephone_number": "414-762-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLOY",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6887-15",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6887-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Marie Miller, DC
• Ram K Mittal, MD
• Michele Moczynski
• Sofiya S Mohamed
• Debbie Montalbano
• David Munoz, M.D.
• Sejoon Nakama
• Alexander Nash
• Tammy U Nauman, PTA
• Jacqueline Ndientien Nchinda-Pungong, BSC-PT, MSC, DPT

• General Practice Dentistry in South Milwaukee, WI
• Providers in South Milwaukee, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.