NPIMap

Organization Active NPI

Mullins Family Dentistry

  • General Practice Dentistry
  • Oakland, MD
National Provider Identifier
1689793283
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13074 Issued in MD
Legal business name
MULLINS FAMILY DENTISTRY
Practice address
1279 Memorial Dr
Oakland, MD 21550-4341
Phone
(301) 533-0633
Fax
(301) 533-0322
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Stephen Todd Mullins, D.D.S.NPI 1992793178
Title
Dentist
Phone
(301) 533-0633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13074 MD Primary

Addresses

Primary practice location

1279 Memorial Dr
Oakland, MD 21550-4341

Mailing address

1279 Memorial Dr
Oakland, MD 21550-4341
Phone (301) 533-0633

National Provider Directory

National Provider Directory

Locations

1279 Memorial Dr
Oakland, MD 21550
Phone (301) 533-0633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1689793283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504341",
            "telephone_number": "301-533-0633",
            "fax_number": "301-533-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504341",
            "telephone_number": "301-533-0633",
            "fax_number": "301-533-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLINS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-533-0633",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.