Individual provider Active NPI

Colleen Ellen Mulholland, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Doylestown, PA
National Provider Identifier
1386170272
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS041378 Issued in PA
Practice address
101 Progress Dr
Doylestown, PA 18901-2563
Phone
(215) 345-7373
Fax
(215) 345-0242
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS041378 PA Primary

Addresses

Primary practice location

101 Progress Dr
Doylestown, PA 18901-2563

Mailing address

101 Progress Dr
Doylestown, PA 18901-2563
Phone (215) 345-7373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20210907000691 PA Practitioner - Oral Surgery 2062780950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Columbia University College of Dental Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral and Maxillofacial Surgeons PCGroup PAC ID 6901888411, 3 clinicians

Practice addresses (Care Compare)

101 Progress Dr
Suite 1
Doylestown, PA 18901-2563
Phone (215) 345-7373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS041378PAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral & Maxillofacial Surgeons P.C. Oral and Maxillofacial Surgery CurrentSince Aug 2, 2021 Accepting new patients
Upper Bucks Foot & Ankle Medical Center PC Past Accepting new patients

Locations

1500 Horizon Dr
Ste 108
Chalfont, PA 18914
Phone (215) 996-1990

101 Progress Dr
Doylestown, PA 18901
Phone (215) 345-7373

101 Progress Dr
Ste 1
Doylestown, PA 18901
Phone (215) 345-7373

249 S West End Blvd
Quakertown, PA 18951
Phone (215) 529-6511

755 York Rd
Ste 206
Warminster, PA 18974
Phone (215) 675-1080

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1386170272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROGRESS DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012563",
            "telephone_number": "215-345-7373",
            "fax_number": "215-345-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROGRESS DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012563",
            "telephone_number": "215-345-7373",
            "fax_number": "215-345-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHOLLAND",
        "first_name": "COLLEEN",
        "middle_name": "ELLEN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS041378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.