Individual provider Active NPI

Stephen R. Muecke, D.D.S.

  • Dentist
  • Atlanta, GA
National Provider Identifier
1043325137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7780 Issued in GA
Practice address
5600 Roswell Rd NE
Suite 100E
Atlanta, GA 30342-1150
Phone
(404) 256-2400
Fax
(404) 256-3330
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7780 GA Primary

Addresses

Primary practice location

5600 Roswell Rd NE
Suite 100E
Atlanta, GA 30342-1150

Mailing address

5600 Roswell Rd NE
Suite 100E
Atlanta, GA 30342-1150
Phone (404) 256-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043325137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 ROSWELL RD NE",
            "address_2": "SUITE 100E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421150",
            "telephone_number": "404-256-2400",
            "fax_number": "404-256-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 ROSWELL RD NE",
            "address_2": "SUITE 100E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421150",
            "telephone_number": "404-256-2400",
            "fax_number": "404-256-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUECKE",
        "first_name": "STEPHEN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "7780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.