Peter Parks Mullen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6314 Issued in CT

Practice address

16 Sunny Valley Rd
New Milford, CT 06776-3323

Phone

(860) 354-1400

Fax

(860) 354-5343

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437239704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 OLD RIDGE RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763961",
            "telephone_number": "860-355-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SUNNY VALLEY RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763323",
            "telephone_number": "860-354-1400",
            "fax_number": "860-354-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "PETER",
        "middle_name": "PARKS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mozonski Counseling & Wellness PLLC
• Haley Mozonski
• Saad Habib-E-Rasul Mullah, MD, PHD
• David T Mullen, DDS
• John E Mullen, MD
• Robert Austin Mullen, DDS
• Myeyedr Optometry of Connecticut, LLC
• Myeyedr Optometry of Connecticut, LLC
• Sharon Louise Narducci, APRN
• Janice B Naum, APRN

• General Practice Dentistry in New Milford, CT
• Providers in New Milford, CT by specialty
• General Practice Dentistry in Connecticut

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.