Stephanie Lauren Mullins, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2002011111 Issued in MO

Practice address

3470 NE Ralph Powell Rd Ste C
Lees Summit, MO 64064-2336

Phone

(816) 719-3200

NPI assigned

Jul 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 21, 2019 through Jan 21, 2027

Medicare enrollment (NPD)

Not 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.

• Periodontal Care Lee'S Summit, LLC

  • Periodontics
  • Lees Summit, MO
  • NPI 1265385470
  NPD (past)
• Stephanie L Mullins DDS Ms LLC

  • Endodontics
  • Lees Summit, MO
  • NPI 1346842309
  NPD (past)

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1497043863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 NE RALPH POWELL RD STE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642336",
            "telephone_number": "816-719-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 NE RALPH POWELL RD STE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642336",
            "telephone_number": "816-719-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "STEPHANIE",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2002011111",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MO",
            "license": "2002011111",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2002011111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Jean Moyer, LCSW
• Mpact Associates Inc.
• Irene Muange
• Samuel W Muchiri
• Hollee Ann Muller, LCSW
• Stephanie Mummert, PHARMD
• Spider Murphy-Taylor, LPC
• Hailey Murphy
• Kristen Meredith Murphy, NP
• Lukin Murphy, BCBA, LBA

• Endodontics in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Endodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.