Active NPI
Michelle D Mulligan, DDS
- Dentist
- Silver Spring, MD
National Provider Identifier
1558053520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18328
- Practice address
- 344 University Blvd W
Silver Spring, MD 20901-1948 - Phone
- (844) 796-2797
- NPI assigned
- May 25, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 18328 | MD | Primary |
Addresses
Primary practice location
344 University Blvd W
Silver Spring, MD 20901-1948
Mailing address
12 Westchester Ave Apt 3D
White Plains, NY 10601-3501
Phone (914) 494-0879
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 |
|---|---|---|---|
| 18328 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1558053520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 WESTCHESTER AVE APT 3D",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106013501",
"telephone_number": "914-494-0879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 UNIVERSITY BLVD W",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011948",
"telephone_number": "844-796-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIGAN",
"first_name": "MICHELLE D",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-25",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.