Kevin Lee Mueller, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D2880 Issued in AZ

Practice address

13576 W Camino del Sol
Suite 18
Sun City West, AZ 85375-4427

Phone

(623) 474-3343

Fax

(623) 975-7063

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arizona Smile Design Group

  • Dentist
  • Sun City West, AZ
  • NPI 1215460233

  General Practice

  NPD
• Midwestern University

  • Dental Clinic/Center
  • Glendale, AZ
  • NPI 1164744009
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1174534812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34225 N 27TH DRIVE",
            "address_2": "BLDG 5 STE 241",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856019",
            "telephone_number": "623-439-2280",
            "fax_number": "623-533-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13576 W CAMINO DEL SOL",
            "address_2": "SUITE 18",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754427",
            "telephone_number": "623-474-3343",
            "fax_number": "623-975-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D2880",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Carlos Morales, M.D.
• Brianna Michelle Moreno, OTR/L
• Megan Motsko
• Nancy Saad Mousa
• Roxanna Moya
• Lois JB Mueller, O.M.
• Jason Muesch, PA
• Candace M Napier, FNP
• Harmeet S Narula, M.D.
• Nationwide Optometry P.C.

• All providers in Sun City West, AZ
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.