TY MAULDIN
NPI 1134880453
Student in an Organized Health Care Education/Training Program in Sioux Falls, SD

Active since January 08, 2022
1316 W WICKLOW CT, SIOUX FALLS, SD 57108(605) 836-1227 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, May 16, 2025, Aug 18, 2022 and 3 more (6 updates tracked since 2022).

About Ty Mauldin NPPES

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

TY MAULDIN (NPI 1134880453) is an individual student in an organized health care education/training program in Sioux Falls, South Dakota and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1134880453
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTY MAULDIN
Location Address1316 W WICKLOW CTSioux Falls, SD 57108-3252
Mailing Address1316 W Wicklow CtSioux Falls, SD 57108-3252 · (605) 836-1227
Sole ProprietorNo
Enumeration DateJanuary 8, 2022
Last NPPES UpdateAugust 12, 20256 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1134880453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1316 W WICKLOW CT, Sioux Falls, SD 57108

Other Identifiers 2

Other96440CA · Accme (accreditation Council For Continuing Medical Education)
Other5020425893002TN · Ss Network Alliance #

Other Providers at the Same Location NPPES 2

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

Perfusionist
1316 W WICKLOW CT
SIOUX FALLS, SD 57108
Perfusionist
1316 W WICKLOW CT
SIOUX FALLS, SD 57108

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 Ty Mauldin's NPI number?

The NPI number for Ty Mauldin is 1134880453. It was assigned to this individual provider in the NPPES registry on January 8, 2022.

Where is Ty Mauldin located?

Ty Mauldin practices at 1316 W Wicklow Ct, Sioux Falls, SD 57108. The listed phone number is (605) 836-1227.

What is Ty Mauldin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ty Mauldin was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.