Active NPI
Patti J Mullins, DDS
- Dentist
- Newport, AR
National Provider Identifier
1376616946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2556
- Practice address
- 1307 Hwy 367 N
Newport, AR 72117 - Phone
- (870) 523-5483
- Fax
- (870) 217-0486
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 2556 | AR | Primary |
Addresses
Primary practice location
1307 Hwy 367 N
Newport, AR 72117
Mailing address
4 Sue Circle
Newport, AR 72112
Phone (870) 523-8686
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 |
|---|---|---|---|
| 2556 | AR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patti J. Mullins, DDS, PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Newport, AR
- NPI 1780839589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376616946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SUE CIRCLE",
"city": "NEWPORT",
"state": "AR",
"postal_code": "72112",
"telephone_number": "870-523-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 HWY 367 N",
"city": "NEWPORT",
"state": "AR",
"postal_code": "72117",
"telephone_number": "870-523-5483",
"fax_number": "870-217-0486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "PATTI",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "2556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, AR
- Monette Manor, LLC
- Kiara Moody
- Jymmeka Moore, PLMSW
- Luvnia Morgan, RECOVERY ASSISTANT
- Samuel Selasie Mortoti, MBCHB
- Melvin Nance, M.D.
- National Healthcare of Newport Inc (Harris Hospital ER)
- National Healthcare of Newport Inc (Harris Anesthesia Associates)
- National Healthcare of Newport Inc (Harris Hospital)
- National Healthcare of Newport Inc (Harris Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.