Active NPI
David Mullens, DPM
- Podiatrist
- Palo Alto, CA
National Provider Identifier
1639139959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1418
- Practice address
- 1101 Welch Rd
Ste C6
Palo Alto, CA 94304 - Phone
- (650) 324-2091
- Fax
- (650) 324-4404
- NPI assigned
- Mar 23, 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 | E1418 | AR | Primary |
Addresses
Primary practice location
1101 Welch Rd
Ste C6
Palo Alto, CA 94304
Mailing address
1101 Welch Rd
Ste C6
Palo Alto, CA 94304
Phone (650) 324-2091
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 |
|---|---|---|---|
| E1418 | AR | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1639139959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 WELCH RD",
"address_2": "STE C6",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-324-2091",
"fax_number": "650-324-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 WELCH RD",
"address_2": "STE C6",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-324-2091",
"fax_number": "650-324-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLENS",
"first_name": "DAVID",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AR",
"license": "E1418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.