Michael Carl Mueller, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-01-5921 Issued in OH

Practice address

203 E Lake Ave
New Carlisle, OH 45344-1465

Phone

(937) 845-1031

Fax

(937) 845-4090

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1174618839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E LAKE AVE",
            "address_2": "PO BOX 66",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441465",
            "telephone_number": "937-845-1031",
            "fax_number": "937-845-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E LAKE AVE",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441465",
            "telephone_number": "937-845-1031",
            "fax_number": "937-845-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "MICHAEL",
        "middle_name": "CARL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-01-5921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237765",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0407161",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy R McNeil, LPCC-S
• Patricia Miles
• Lytha K Miller, D.D.S.
• Amy Lynn Mitchell, PTA
• Marlon L Moritz, DC
• Audrey Musselman, MDN, RDN, LD
• Meghna Srinivasan Narayanan, D.D.S.
• New Carlisle Family Dental - David M Raiffe DDS Mba Inc
• New Carlisle Family Practice LLC
• Dana M Nichols, D.M.D.

• General Practice Dentistry in New Carlisle, OH
• Providers in New Carlisle, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.