Individual provider Active NPI

James K Muehleck, D.D.S.

  • General Practice Dentistry
  • Martinsville, VA
National Provider Identifier
1386726792
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04906 Issued in VA
Practice address
25 Cleveland Ave
Suite a
Martinsville, VA 24112-2935
Phone
(276) 632-6219
Fax
(276) 632-5575
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 04906 VA Primary

Addresses

Primary practice location

25 Cleveland Ave
Suite a
Martinsville, VA 24112-2935

Mailing address

25 Cleveland Ave
Suite a
Martinsville, VA 24112-2935
Phone (276) 632-6219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04906VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsville Family Dentistry PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386726792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CLEVELAND AVE",
            "address_2": "SUITE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122935",
            "telephone_number": "276-632-6219",
            "fax_number": "276-632-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CLEVELAND AVE",
            "address_2": "SUITE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122935",
            "telephone_number": "276-632-6219",
            "fax_number": "276-632-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUEHLECK",
        "first_name": "JAMES",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "04906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • 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.