Active NPI
Catherine A Muldoon
- General Practice Dentistry
- Stuart, FL
National Provider Identifier
1801182191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN28691
- Practice address
- 2648 NW Federal Hwy
Stuart, FL 34994-9318 - Phone
- (772) 232-7201
- NPI assigned
- Jun 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN28691 | FL | Primary |
| General Practice Dentistry | 1223G0001X | 13053 | CT | |
| General Practice Dentistry | 1223G0001X | 110008 | CA | |
| Dentist | 122300000X | 0401413175 | VA | |
| General Practice Dentistry | 1223G0001X | 060357 | NY |
Addresses
Primary practice location
2648 NW Federal Hwy
Stuart, FL 34994-9318
Mailing address
2648 NW Federal Hwy
Stuart, FL 34994-9318
Phone (772) 232-7201
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 816276 | Other | UCCI | |
| 019711 | Other | ANTHEM |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401413175 | VA | MD | Dentist |
| 13053 | CT | MD | General Practice Dentistry |
| DN28691 | FL | MD | General Practice Dentistry |
| 060357 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Konikoff Dental Associates, Inc. | General Practice | Past | Accepting new patients |
| Konikoff Dental | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Virginia Beach, VA
- NPI 1285032995
-
- General Practice Dentistry
- Virginia Beach, VA
- NPI 1063570968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1801182191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2648 NW FEDERAL HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349949318",
"telephone_number": "772-232-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2648 NW FEDERAL HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349949318",
"telephone_number": "772-232-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULDOON",
"first_name": "CATHERINE",
"middle_name": "A",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-24",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN28691",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "13053",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "110008",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401413175",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "060357",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCCI",
"identifier": "816276",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "019711",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.