Samantha Claire Mueller, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019.031103 Issued in IL

Practice address

80 W Hillcrest Blvd Ste 212
Schaumburg, IL 60195-3111

Phone

(847) 636-6767

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Practice roles

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.

• Abc Dentistry, LLP

  • Pediatric Dentistry
  • Schaumburg, IL
  • NPI 1194206052
  NPD (past)
• Abc Dentistry, LTD.

  • Pediatric Dentistry
  • Schaumburg, IL
  • NPI 1043352354
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1619403458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W HILLCREST BLVD STE 212",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953111",
            "telephone_number": "847-882-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W HILLCREST BLVD STE 212",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953111",
            "telephone_number": "847-636-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Lake St",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022612",
            "country_code": "US",
            "telephone_number": "052-870-8848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "SAMANTHA",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019.031103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsam@abcdds.com",
            "affiliation": "N",
            "address_1": "80 W Hillcrest Blvd Ste 212",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601953111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madelon Moser
• Edward Moustis, RBT
• Lisa Elaine Moy, BSN, RN, IBCLC, RLC
• Gloria M Mroz, MD
• Amy Mueller, ATC
• Kalilah Muhammad
• Mariya Muhr, BCBA
• Markie Paige Mulchay, BCBA
• Ariguuntugs Munkh Erdene, CSA
• Sergo Muradov

• Pediatric Dentistry in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.