Organization Active NPI

Thomas W Mullen DDS Inc

  • Dentist
  • Redding, CA
National Provider Identifier
1821546649
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THOMAS W MULLEN DDS INC
Practice address
2315 Bechelli LN
Redding, CA 96002-0119
Phone
(530) 223-0436
NPI assigned
Sep 21, 2016
Last updated
Sep 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Authorized official

Name
Thomas W MullenNPI 1043396534
Title
Owner
Phone
(530) 223-0436

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

2315 Bechelli LN
Redding, CA 96002-0119

Mailing address

2315 Bechelli LN
Redding, CA 96002-0119
Phone (530) 223-0436

National Provider Directory

National Provider Directory

Locations

2315 Bechelli Ln
Redding, CA 96002
Phone (530) 223-0436

2315 Bechelli Ln
Ste F
Redding, CA 96002
Phone (530) 223-0436

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": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1821546649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 BECHELLI LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020119",
            "telephone_number": "530-223-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 BECHELLI LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020119",
            "telephone_number": "530-223-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W MULLEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-223-0436"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.