Jamie Langley Mull, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009558A Issued in IN

Practice address

1300 Old Hwy 135 NE
Corydon, IN 47112

Phone

(812) 738-8081

Fax

(812) 738-3213

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Crosscreek Dental, LLC

  • General Practice Dentistry
  • Corydon, IN
  • NPI 1457022428
  NPD (past)
• JLD Dental

  • General Practice Dentistry
  • Corydon, IN
  • NPI 1689736217
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1679635155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 OLD HWY 135 NE",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "47112",
            "telephone_number": "812-738-8081",
            "fax_number": "812-738-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OLD HWY 135 NE",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "47112",
            "telephone_number": "812-738-8081",
            "fax_number": "812-738-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULL",
        "first_name": "JAMIE",
        "middle_name": "LANGLEY",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009558A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200329310",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Moll, D.C.
• Jennifer Lynn Moore
• Mortenson Family Dental Center-Corydon,PLLC
• Andrew Michael Morton, M.D.
• Pat L Moss, OD
• Jana Murphy, PHARMD
• Jennifer Murphy, N.P.
• John Brent Murphy, M.D.
• Sierra Nash
• Joe Nelson, LCSW

• General Practice Dentistry in Corydon, IN
• Providers in Corydon, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.