NPIMap

Organization Active NPI

Kathleen M Mullaney DDS LLC

  • Dentist
  • Alexandria, VA
National Provider Identifier
1356720106
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401007018 Issued in VA
Legal business name
KATHLEEN M MULLANEY DDS LLC
Practice address
700 N Fairfax St
Ste 230
Alexandria, VA 22314-2040
Phone
(703) 548-8584
Fax
(703) 548-0014
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Dr. Kathleen Matheson Mullaney, DDSNPI 1639497472
Title
Owner
Phone
(703) 548-8584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401007018 VA Primary

Addresses

Primary practice location

700 N Fairfax St
Ste 230
Alexandria, VA 22314-2040

Mailing address

700 N Fairfax St
Ste 230
Alexandria, VA 22314-2040
Phone (703) 548-8584

National Provider Directory

National Provider Directory

Locations

700 N Fairfax St
Ste 230
Alexandria, VA 22314
Phone (703) 548-8584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1356720106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N FAIRFAX ST",
            "address_2": "STE 230",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142040",
            "telephone_number": "703-548-8584",
            "fax_number": "703-548-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N FAIRFAX ST",
            "address_2": "STE 230",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142040",
            "telephone_number": "703-548-8584",
            "fax_number": "703-548-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN M MULLANEY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "MULLANEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MATHESON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-548-8584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.