Molly Elizabeth Mullen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09468 Issued in IA

Practice address

100 E South St
Corydon, IA 50060-1724

Phone

(641) 872-2514

NPI assigned

Aug 8, 2017

Last updated

Aug 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in IA

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

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.

• Mullen Family Dentistry, LLC

  • General Practice Dentistry
  • Albia, IA
  • NPI 1740824788
  Authorized official Same address or phone

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1952826299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N 2ND ST",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525311315",
            "telephone_number": "641-799-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SOUTH ST",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601724",
            "telephone_number": "641-872-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "MOLLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxwell Alexander Loew, DDS
• Rachel McIlwain
• Medicine Creek Wellness, PLLC
• Clayton John Merritt, ARNP
• Chelsea Marie Valentine Miller, ARNP
• Deborah Nadarevic, R.PH.
• New Venture Group Home
• Eric Palmer
• Stephanie Jo Perkins Mahan, D.O.
• Caysi Porter, LMSW

• General Practice Dentistry in Corydon, IA
• Providers in Corydon, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.