Active NPI
David Paul Mueller, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Virginia Beach, VA
National Provider Identifier
1144236100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0438000177
- Practice address
- 1157 First Colonial Rd.
Suite 101
Virginia Beach, VA 23454-3171 - Phone
- (757) 496-8066
- Fax
- (757) 496-8766
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 0438000177 | VA | |
| Dentist | 122300000X | 0401007897 | VA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0438000177 | VA | Primary |
Addresses
Primary practice location
1157 First Colonial Rd.
Suite 101
Virginia Beach, VA 23454-3171
Mailing address
1157 First Colonial Rd Ste 101
Virginia Beach, VA 23454-2432
Phone (757) 496-8066
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244947 | Other | VA | ANTHEM BC/BS |
| 15477 | Other | VA | OPTIMA HEALTH INS |
| 828056 | Other | VA | UNITED CONCORDIA INS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0438000177 | VA | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511913600000",
"number": "1144236100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1157 FIRST COLONIAL RD STE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542432",
"telephone_number": "757-496-8066",
"fax_number": "757-496-8766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1157 FIRST COLONIAL RD.",
"address_2": "SUITE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543171",
"telephone_number": "757-496-8066",
"fax_number": "757-496-8766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "DAVID",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2017-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "VA",
"license": "0438000177",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401007897",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0438000177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "244947",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH INS",
"identifier": "15477",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA INS",
"identifier": "828056",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.