Christina Rhiannon Chanda Mueller, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30022161 Issued in OH

Practice address

21851 Center Ridge Rd
#311
Rocky River, OH 44116-3976

Phone

(440) 333-9532

Fax

(440) 333-9533

NPI assigned

Oct 3, 2006

Sex

Female

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283558400000",
    "number": "1366536930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SOMERSET DR",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441164400",
            "telephone_number": "216-246-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21851 CENTER RIDGE RD",
            "address_2": "#311",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163976",
            "telephone_number": "440-333-9532",
            "fax_number": "440-333-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDA MUELLER",
        "first_name": "CHRISTINA",
        "middle_name": "RHIANNON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Rocky River, OH
• Providers in Rocky River, 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 Sep 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.