Active NPI
Camelot Endodontics LTD
Doing business as Endodontic Associates of IL, Wheaton
- Endodontics
- Wheaton, IL
National Provider Identifier
1508778473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- 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 LTD
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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
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.