NPIMap

Organization Active NPI

T. J. Freund DDS, P.C.

Doing business as Chillicothe Dental Center

  • General Practice Dentistry
  • Chillicothe, IL
National Provider Identifier
1447429238
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
T. J. FREUND DDS, P.C.
Doing business as
Chillicothe Dental Center
Practice address
1008 N. 4TH St.
Chillicothe, IL 61523
Phone
(309) 274-3820
Fax
(309) 274-6088
NPI assigned
Feb 26, 2008
Last updated
Dec 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Dr. Kristie Lynn Mueller, D.M.D.NPI 1801073234
Title
Owner/President
Phone
(309) 274-3820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1008 N. 4TH St.
Chillicothe, IL 61523

Mailing address

PO Box 170
Chillicothe, IL 61523-0170
Phone (309) 274-3820

Other identifiers 1

IdentifierTypeStateIssuer
1001904OtherILDORAL DENTAL

Other names 1

  • Chillicothe Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1447429238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "city": "CHILLICOTHE",
            "state": "IL",
            "postal_code": "615230170",
            "telephone_number": "309-274-3820",
            "fax_number": "309-274-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N. 4TH ST.",
            "city": "CHILLICOTHE",
            "state": "IL",
            "postal_code": "61523",
            "telephone_number": "309-274-3820",
            "fax_number": "309-274-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. J. FREUND DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "309-274-3820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "1001904",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chillicothe Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.