Andrew Patrick Mulka, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.028796 Issued in IL

Practice address

133 E Mayne St
Blue Grass, IA 52726-9718

Phone

(563) 381-4830

NPI assigned

Jul 31, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Practice roles

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.

• MRB Enterprises PC

  • Dentist
  • Blue Grass, IA
  • NPI 1013141373
  NPD (past)
• Myotech, LLC

  • General Practice Dentistry
  • Moline, IL
  • NPI 1811132467
  NPD (past)
• QC Cpap Direct, LLC

  • Durable Medical Equipment & Medical Supplies
  • Moline, IL
  • NPI 1841685500
  NPD (past)

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1497033013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E MAYNE ST",
            "city": "BLUE GRASS",
            "state": "IA",
            "postal_code": "527269718",
            "telephone_number": "563-381-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MAYNE ST",
            "city": "BLUE GRASS",
            "state": "IA",
            "postal_code": "527269718",
            "telephone_number": "563-381-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULKA",
        "first_name": "ANDREW",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-31",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08842",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lorraine Howard, B.S., D.C.
• Edith Allene Little, LISW
• Tenille Marie Miller, NP-C
• MRB Enterprises PC
• Lindsay Muehlbauer, MOTR/L
• Elise Amanda Nygren, FNP
• Susan Lee Potthast, LMHC,LMT
• Ripslinger Family Chiropractic
• Marie Catherine Ripslinger-Atwater, D.C.
• Nikki Leigh Sander

• General Practice Dentistry in Blue Grass, IA
• Providers in Blue Grass, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.