NPIMap

Organization Active NPI

Patti J. Mullins, DDS, PA

  • Dentist
  • Newport, AR
National Provider Identifier
1780839589
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PATTI J. MULLINS, DDS, PA
Practice address
1307 Highway 367 N
Newport, AR 72112-0279
Phone
(870) 523-5483
Fax
(870) 217-0486
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Patti J. Mullins, DDSNPI 1376616946
Title
President
Phone
(870) 523-5483

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1307 Highway 367 N
Newport, AR 72112-0279

Mailing address

1307 Highway 367 N
Newport, AR 72112-2511
Phone (870) 523-5483

National Provider Directory

National Provider Directory

Locations

1307 Highway 367 N
Newport, AR 72112
Phone (870) 523-5483

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1780839589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 HIGHWAY 367 N",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721122511",
            "telephone_number": "870-523-5483",
            "fax_number": "870-217-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 HIGHWAY 367 N",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721120279",
            "telephone_number": "870-523-5483",
            "fax_number": "870-217-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTI J. MULLINS, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-523-5483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.