Organization Active NPI

Stephanie L Mullins DDS Ms LLC

  • Endodontics
  • Lee's Summit, MO
National Provider Identifier
1346842309
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
STEPHANIE L MULLINS DDS MS LLC
Doing business as
Stephanie L. Mullins, DDS MS LLC
Practice address
3470 NE Ralph Powell Rd Ste C
Lees Summit, MO 64064-2330
Phone
(816) 524-9800
NPI assigned
Nov 13, 2020
Last updated
May 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Faith Gaskins
Title
Credentialing Director
Phone
(972) 869-3789

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary
Periodontics 1223P0300X NU

Addresses

Primary practice location

3470 NE Ralph Powell Rd Ste C
Lees Summit, MO 64064-2330

Mailing address

3470 NE Ralph Powell Rd Ste C
Lees Summit, MO 64064-2330
Phone (816) 524-9800

Other names 1

  • Stephanie L. Mullins, DDS MS LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3470 NE Ralph Powell Rd
Ste C
Lees Summit, MO 64064
Phone (816) 524-9800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1346842309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 NE RALPH POWELL RD STE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642330",
            "telephone_number": "816-524-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 NE RALPH POWELL RD STE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642330",
            "telephone_number": "816-524-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE L MULLINS DDS MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie L. Mullins, DDS MS LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stephanie L. Mullins, DDS MS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.