Active NPI
James P Mulligan, DDS
- General Practice Dentistry
- Debary, FL
National Provider Identifier
1306934989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7309
- Practice address
- 9 Dogwood TRL
Debary, FL 32713-2411 - Phone
- (386) 668-4433
- Fax
- (386) 668-4435
- NPI assigned
- Oct 10, 2006
- Last updated
- Dec 5, 2014
- 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 | 7309 | FL | Primary |
Addresses
Primary practice location
9 Dogwood TRL
Debary, FL 32713-2411
Mailing address
9 Dogwood TRL
Debary, FL 32713-2411
Phone (386) 668-4433
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 |
|---|---|---|---|
| 7309 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1306934989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DOGWOOD TRL",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132411",
"telephone_number": "386-668-4433",
"fax_number": "386-668-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 DOGWOOD TRL",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132411",
"telephone_number": "386-668-4433",
"fax_number": "386-668-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIGAN",
"first_name": "JAMES",
"middle_name": "P",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "7309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Debary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.