Active NPI
Erica Nicole Mueller, DMD
- General Practice Dentistry
- Summerville, SC
National Provider Identifier
1124688718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9397
- Practice address
- 1971 N Main St
Summerville, SC 29486-7890 - Phone
- (843) 871-0842
- NPI assigned
- Jun 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9397 | SC | Primary |
Addresses
Primary practice location
1971 N Main St
Summerville, SC 29486-7890
Mailing address
1175 Mathis Ferry Rd Apt B1
Mount Pleasant, SC 29464-5213
Phone (507) 250-1460
Other practice location 1
497 W. Butternut Rd
Summerville, SC 29483
Phone (843) 871-0842
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9397 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SFD Knightsville LLC | General Practice | Past | Accepting new patients |
| Periodontic Specialists by Solomon Dental LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- North Charleston, SC
- NPI 1194576132
Single Specialty
-
- General Practice Dentistry
- Summerville, SC
- NPI 1720552524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1124688718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 MATHIS FERRY RD APT B1",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294645213",
"telephone_number": "507-250-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1971 N MAIN ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294867890",
"telephone_number": "843-871-0842"
}
],
"practiceLocations": [
{
"address_1": "497 W. Butternut Rd",
"address_purpose": "LOCATION",
"city": "Summerville",
"state": "SC",
"postal_code": "29483",
"country_code": "US",
"telephone_number": "843-871-0842",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUELLER",
"first_name": "ERICA",
"middle_name": "NICOLE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "9397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.