Individual provider Active NPI

Nicholas Mueller, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Durham, NC
National Provider Identifier
1154724169
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10977 Issued in NC
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

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
10977NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Reebye, Park & Richman DDS PLC Oral and Maxillofacial Surgery PastSince Sep 24, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.