KYLIE KAREN MULLANEY DDS
NPI 1194612697
Dentist - Pediatric Dentistry in Minneapolis, MN

Q: What is Kylie Mullaney's NPI number?

The NPI number for Kylie Mullaney is 1194612697. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Q: What is Kylie Mullaney's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Kylie Mullaney was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 18, 2025PECOS Enrolled

701 25TH AVE S STE 400, MINNEAPOLIS, MN 55454(612) 839-7271(612) 659-4901 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kylie Karen Mullaney Dds NPPES

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

KYLIE KAREN MULLANEY DDS (NPI 1194612697) is an individual pediatric dentistry provider in Minneapolis, Minnesota, licensed in Minnesota (D15318) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194612697

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameKYLIE KAREN MULLANEYCredential: DDS

Location Address701 25TH AVE S STE 400Minneapolis, MN 55454-1443

Mailing Address4429 W 52nd StEdina, MN 55424-1313 · (952) 836-9500

Phone(612) 839-7271

Fax(612) 659-4901

Sole ProprietorNo

Enumeration DateJune 18, 2025

NPPES CertifiedJune 18, 2025

✔ NPI 1194612697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in MN · D15318

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

701 25TH AVE S STE 400, Minneapolis, MN 55454

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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)

Kylie Karen Mullaney Dds 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 55454 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 14

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

DR. TAEKHYUN RHEE

Student in an Organized Health Care Education/Training Program