Individual provider Active NPI

William Andrew Mueller III, DMD

  • General Practice Dentistry
  • Lakeland, FL
National Provider Identifier
1164574679
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17074 Issued in FL
Practice address
3615 S Florida Ave
Suite 850
Lakeland, FL 33803-4876
Phone
(863) 619-6600
Fax
(863) 619-6644
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

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
General Practice Dentistry 1223G0001X DN17074 FL Primary

Addresses

Primary practice location

3615 S Florida Ave
Suite 850
Lakeland, FL 33803-4876

Mailing address

3615 S Florida Ave
Suite 850
Lakeland, FL 33803-4876
Phone (863) 619-6600

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

LicenseStateTypeSpecialty
DN17074FLMDGeneral Practice Dentistry

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Walding and Associates LLC Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164574679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 S FLORIDA AVE",
            "address_2": "SUITE 850",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034876",
            "telephone_number": "863-619-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S FLORIDA AVE",
            "address_2": "SUITE 850",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034876",
            "telephone_number": "863-619-6600",
            "fax_number": "863-619-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "WILLIAM",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

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.