Active NPI
Edgar H Mullin, DPM
- Podiatrist
- Burlington, MA
National Provider Identifier
1629086590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1685
- Practice address
- 281 Cambridge Street
Burlington, MA 01803 - Phone
- (781) 272-1040
- NPI assigned
- Aug 4, 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1685 | MA | Primary |
Addresses
Primary practice location
281 Cambridge Street
Burlington, MA 01803
Mailing address
281 Cambridge Street
Burlington, MA 01803
Phone (781) 272-1040
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1685 | MA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1629086590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 CAMBRIDGE STREET",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "01803",
"telephone_number": "781-272-1040",
"fax_number": "781-270-9072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 CAMBRIDGE STREET",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "01803",
"telephone_number": "781-272-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIN",
"first_name": "EDGAR",
"middle_name": "H",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.