Organization Active NPI

Mueller & Walding, PA

  • General Practice Dentistry
  • Lakeland, FL
National Provider Identifier
1023217700
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MUELLER & WALDING, PA
Practice address
3845 S Florida Ave
Lakeland, FL 33813-1109
Phone
(863) 607-9030
Fax
(863) 607-9033
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Mrs. Tanya Livingston
Title
Office Manager
Phone
(863) 607-9030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3845 S Florida Ave
Lakeland, FL 33813-1109

Mailing address

3845 S Florida Ave
Lakeland, FL 33813-1109
Phone (863) 607-9030

Other names 1

  • Parkway Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3845 S Florida Ave
Lakeland, FL 33813
Phone (863) 226-4424

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1023217700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131109",
            "telephone_number": "863-607-9030",
            "fax_number": "863-607-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131109",
            "telephone_number": "863-607-9030",
            "fax_number": "863-607-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUELLER & WALDING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "863-607-9030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.