Active NPI
Nicholas Mueller, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Durham, NC
National Provider Identifier
1154724169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 10977
- Practice address
- 5318 NC Highway 55 Ste 106
Durham, NC 27713 - Phone
- (716) 969-7461
- NPI assigned
- Oct 3, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 10977 | NC | Primary |
Addresses
Primary practice location
5318 NC Highway 55 Ste 106
Durham, NC 27713
Mailing address
5318 NC Highway 55 Ste 106
Durham, NC 27713-9660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 9, 2018 through Jul 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10977 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reebye, Park & Richman DDS PLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Reebye Park & Richman DDS PLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Reebye Park & Richman DDS PLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Interoperability endpoints
- nmueller432247@direct.medicine.duke.edu
Organizations & group practices 3
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Goldsboro, NC
- NPI 1376963439
-
- Oral and Maxillofacial Surgery (Dentist)
- Durham, NC
- NPI 1639450869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1154724169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5318 NC HIGHWAY 55 STE 106",
"city": "DURHAM",
"state": "NC",
"postal_code": "277139660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5318 NC HIGHWAY 55 STE 106",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "716-969-7461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "NICHOLAS",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-03",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "10977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.