Organization Active NPI

Glen E. Mueller D.M.D., P.C.

  • Dental Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1255472254
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GLEN E. MUELLER D.M.D., P.C.
Practice address
13096 Tesson Ferry Rd
Saint Louis, MO 63128-3442
Phone
(314) 842-0060
Fax
(314) 842-0067
NPI assigned
Feb 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Glen E. Mueller, D.M.D.NPI 1942497136
Title
C.E.O.
Phone
(314) 842-0060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

13096 Tesson Ferry Rd
Saint Louis, MO 63128-3442

Mailing address

13096 Tesson Ferry Rd
Saint Louis, MO 63128-3442
Phone (314) 842-0060

National Provider Directory

National Provider Directory

Locations

13096 Tesson Ferry Rd
Saint Louis, MO 63128
Phone (314) 842-0060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1255472254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13096 TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283442",
            "telephone_number": "314-842-0060",
            "fax_number": "314-842-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13096 TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283442",
            "telephone_number": "314-842-0060",
            "fax_number": "314-842-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN E. MUELLER D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "314-842-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.