Kenneth Mueller, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2020013590 Issued in MO

Practice address

1185 Cave Springs Estate Dr
Saint Peters, MO 63376-6529

Phone

(636) 757-1800

NPI assigned

May 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• PLD of St. Charles, P.C.

  • General Practice Dentistry
  • Saint Peters, MO
  • NPI 1841009438
  NPD
• Family Dental Services LTD

  • General Practice Dentistry
  • Saint Peters, MO
  • NPI 1477625184
  NPD (past)

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1295358612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 CAVE SPRINGS ESTATE DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766529",
            "telephone_number": "636-757-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 CAVE SPRINGS ESTATE DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766529",
            "telephone_number": "636-757-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "KENNETH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2020013590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Ann Mount, PHD LPC
• Elizabeth Moyer, LPC
• Jennifer Lynn Moyes, FNP
• Natalie Louise Mozee-Zurheide, LPC
• MTS-St. Charles
• Stephanie Muertz, NP-C
• Prajakta Mungikar, MD
• Jan Munro, ED.D.
• Heather Munzert
• Chinya Krishnamurthy Murali, MD

• Dentist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.