Active NPI
Ellis Taylor Mullinax, DMD
- General Practice Dentistry
- Apo Ae, NY
National Provider Identifier
1477511319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2776
- Practice address
- Unit 26610
Wuerzburg Dental Activity Credentials Office
Apo Ae, NY 09244 - Phone
- (931) 804-3933
- NPI assigned
- May 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2776 | AL | Primary |
Addresses
Primary practice location
Unit 26610
Wuerzburg Dental Activity Credentials Office
Apo Ae, NY 09244
Mailing address
Unit 26610
Wuerzburg Dental Activity Credentials Office
Apo Ae, NY 09244
Phone (931) 804-3933
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 |
|---|---|---|---|
| 2776 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477511319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIT 26610",
"address_2": "WUERZBURG DENTAL ACTIVITY CREDENTIALS OFFICE",
"city": "APO AE",
"state": "NY",
"postal_code": "09244",
"telephone_number": "931-804-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIT 26610",
"address_2": "WUERZBURG DENTAL ACTIVITY CREDENTIALS OFFICE",
"city": "APO AE",
"state": "NY",
"postal_code": "09244",
"telephone_number": "931-804-3933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINAX",
"first_name": "ELLIS",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "2776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apo Ae, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.