Individual provider Active NPI

Michael Mulick, D.M.D.

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1851443642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00007449 Issued in WA
Practice address
600 Broadway
Suite 330
Seattle, WA 98122-5395
Phone
(206) 325-0166
Fax
(206) 726-6039
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00007449 WA Primary

Addresses

Primary practice location

600 Broadway
Suite 330
Seattle, WA 98122-5395

Mailing address

600 Broadway
Suite 330
Seattle, WA 98122-5395
Phone (206) 325-0166

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

LicenseStateTypeSpecialty
DE00007449WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Victor J. Barry, DDS & Michael J. Mulick, DMD & Associates PL LC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851443642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BROADWAY",
            "address_2": "SUITE 330",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225395",
            "telephone_number": "206-325-0166",
            "fax_number": "206-726-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROADWAY",
            "address_2": "SUITE 330",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225395",
            "telephone_number": "206-325-0166",
            "fax_number": "206-726-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULICK",
        "first_name": "MICHAEL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.