Elisa Mulkey

Primary specialty

DentistTaxonomy code 122300000X

License

2025024087 Issued in MO

Practice address

627 S Truman Blvd
Festus, MO 63028-2234

Phone

(636) 777-4679

NPI assigned

Jun 10, 2025

Last updated

Jun 23, 2025By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1619862711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N TAYLOR AVE",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191210",
            "telephone_number": "314-602-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 S TRUMAN BLVD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282234",
            "telephone_number": "636-777-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULKEY",
        "first_name": "ELISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2025024087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua James Moul, DC
• Moving Mountains Counseling, LLC
• Elizabeth Mudd
• Sandra J. Mueller, LPC
• Kristina Lynn Mulder, MSN, APRN, AGPCNP
• Amanda Mungenast, PT, DPT
• Nona Mungle, N.P.
• Janet S. Murdick, RN BC AP PMH/CNS
• Heather Marie Murray, LCSW
• Musaddeque Ahmad M.D. Inc.

• Dentist in Festus, MO
• Providers in Festus, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.