Kathleen V. Mullen, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS025133L Issued in PA

Practice address

118 Dickerson Rd
Suite D
North Wales, PA 19454-2538

Phone

(215) 699-0650

Fax

(215) 699-9599

NPI assigned

Apr 10, 2008

Last updated

Apr 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Toothfairy, P.C.

  • Pediatric Dentistry
  • North Wales, PA
  • NPI 1760522544
  Authorized official Same address or phone

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1811160898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 DICKERSON RD",
            "address_2": "SUITE D",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542538",
            "telephone_number": "215-699-0650",
            "fax_number": "215-699-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 DICKERSON RD",
            "address_2": "SUITE D",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542538",
            "telephone_number": "215-699-0650",
            "fax_number": "215-699-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "KATHLEEN",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS025133L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunghoon Moon
• Regina Adell Moore-Williams, OTR/L
• Heather E Moore, DPT
• Heather Elizabeth Morris, PA-C
• Mogeh Mozaffarian, DMD
• Daniel Murphy, PT
• Eric James Myers, DPT
• Sharon Nam, DMD
• Ravi Prakash Reddy Nanga
• National Vision, Inc. (America's Best Contacts & Eyeglasses)

• Pediatric Dentistry in North Wales, PA
• Providers in North Wales, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.