Frederic J Mrugala, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19-15558 Issued in IL

Practice address

6418 S Cass Ave
Westmont, IL 60559-3209

Phone

(630) 963-8680

Fax

(630) 963-5899

NPI assigned

Nov 8, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Saai Atassi Dental LTD

  • General Practice Dentistry
  • Westmont, IL
  • NPI 1548837479
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316017338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 W 92ND ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531405",
            "telephone_number": "708-599-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6418 S CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605593209",
            "telephone_number": "630-963-8680",
            "fax_number": "630-963-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRUGALA",
        "first_name": "FREDERIC",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19-15558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Moriarty, LPC INTERN
• Daniel Joseph Morrill, PT
• Olivia Bernadette Morrissey
• Barbara A Mosier, LCSW
• Joan K Mottys, LCPC
• MSHH Associates, LLC
• James Mueller, LPC - INTERN
• Natalie Marie Munguia
• Timothy Murphy
• Jeffery Brian Murray

• General Practice Dentistry in Westmont, IL
• Providers in Westmont, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.