Active NPI
Chris Mueller DDS PLLC
- Dentist
- Port Orchard, WA
National Provider Identifier
1255671640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9087
- Legal business name
- CHRIS MUELLER DDS PLLC
- Practice address
- 1420 Bay St
Port Orchard, WA 98366-5102 - Phone
- (360) 895-1401
- Fax
- (360) 895-1296
- NPI assigned
- Feb 21, 2013
- Last updated
- Feb 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammie Farley
- Title
- Office Manager
- Phone
- (360) 895-1401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9087 | WA | Primary |
Addresses
Primary practice location
1420 Bay St
Port Orchard, WA 98366-5102
Mailing address
1420 Bay St
Port Orchard, WA 98366-5102
Phone (360) 895-1401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130603000108 | WA | DME Supplier - Oral Surgery - Dentist | 8921246950 | Practice locations: Port Orchard, WA |
National Provider Directory
National Provider DirectoryLocations
1420 Bay St
Port Orchard, WA 98366
Phone (360) 895-1401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Port Orchard, WA
- NPI 1720109820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1255671640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 BAY ST",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983665102",
"telephone_number": "360-895-1401",
"fax_number": "360-895-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 BAY ST",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983665102",
"telephone_number": "360-895-1401",
"fax_number": "360-895-1296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRIS MUELLER DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-21",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "TAMMIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "360-895-1401"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "9087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.