James Robert Mularczyk, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901602006 Issued in MI

Practice address

5909 Red Arrow Hwy
Stevensville, MI 49127-1145

Phone

(269) 429-6001

NPI assigned

Jul 26, 2006

Last updated

Apr 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Locations

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.

• James R Mularczyk DDS PLLC

  dba Keep Smiling Dental

  • General Practice Dentistry
  • Stevensville, MI
  • NPI 1093289423
  NPD Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1811911704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9466 FOX RUN",
            "city": "BERRIEN CENTER",
            "state": "MI",
            "postal_code": "491028710",
            "telephone_number": "978-549-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 RED ARROW HWY",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491271145",
            "telephone_number": "269-429-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULARCZYK",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025285",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855069",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Karen Moore, FNP
• James Morris, PT, DPT, CSCS
• Jonathan Moyle
• Mufarowashe Moyo, LPN
• Rhoda Msachi, PTA
• Navarro Counseling Services
• Kimberly J Nelson, NP
• Becka O'Neil
• Kenneth J O'Neill, MD
• James Allen Organ, RN

• General Practice Dentistry in Stevensville, MI
• Providers in Stevensville, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.