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KAITLYN MARIE MULLIN
NPI 1114769551
Dentist in Indianapolis, IN

Active since June 07, 2024PECOS Enrolled
705 RILEY HOSPITAL DR STE 4205, INDIANAPOLIS, IN 46202(317) 944-9604 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2025, Jun 7, 2024 (2 updates tracked since 2024).

About Kaitlyn Marie Mullin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN MARIE MULLIN (NPI 1114769551) is an individual dentist in Indianapolis, Indiana, licensed in Indiana (12014753A) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114769551
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKAITLYN MARIE MULLIN
Location Address705 RILEY HOSPITAL DR STE 4205Indianapolis, IN 46202-5109
Mailing Address705 Riley Hospital Dr Ste 4205Indianapolis, IN 46202-5109 · (317) 944-9604
Phone(317) 944-9604
Sole ProprietorNo
Enumeration DateJune 7, 2024
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1114769551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12014753A
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
705 RILEY HOSPITAL DR STE 4205, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Marie Mullin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IAN DOUGLAS SUN DMD
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604
DR. ALEXANDER DAVID VORIS DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604
DR. KATELYN MARIE BRAUER DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604
DAVID HENRY NEAL D.M.D.
Dentist
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604
DR. SHIRA ESTHER RUGGS DANCY D.D.S.
Dentist (General Practice)
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 948-6255
LAUREN LONG DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604
LESA M ALLISON D.D.S.
Dentist
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604
DR. HANA REED DMD
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR STE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Mullin's NPI number?

The NPI number for Kaitlyn Mullin is 1114769551. It was assigned to this individual provider in the NPPES registry on June 7, 2024.

Where is Kaitlyn Mullin located?

Kaitlyn Mullin practices at 705 Riley Hospital Dr Ste 4205, Indianapolis, IN 46202. The listed phone number is (317) 944-9604.

What is Kaitlyn Mullin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kaitlyn Mullin enrolled in Medicare?

Yes. Kaitlyn Mullin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlyn Mullin was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.