Organization Active NPI

Camelot Endodontics LTD

Doing business as Endodontic Associates of IL, Wheaton

  • Endodontics
  • Wheaton, IL
National Provider Identifier
1508778473
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
CAMELOT ENDODONTICS LTD
Doing business as
Endodontic Associates of IL, Wheaton
Practice address
416 E Roosevelt Rd Ste 100
Wheaton, IL 60187-5589
Phone
(630) 665-9850
NPI assigned
Sep 17, 2026
Organization subpart
Yes
Parent organization
CAMELOT ENDODONTICS LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

416 E Roosevelt Rd Ste 100
Wheaton, IL 60187-5589

Mailing address

416 E Roosevelt Rd Ste 100
Wheaton, IL 60187-5589
Phone (630) 665-9850

Other names 1

  • Endodontic Associates of IL, Wheaton Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1508778473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E ROOSEVELT RD STE 100",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875589",
            "telephone_number": "630-665-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E ROOSEVELT RD STE 100",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875589",
            "telephone_number": "630-665-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT ENDODONTICS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMELOT ENDODONTICS LTD",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontic Associates of IL, Wheaton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.