Individual provider Active NPI

Brett Hensley Mueller, DDS MA

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1619987229
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9447 Issued in TX
Practice address
7322 W Military Dr
San Antonio, TX 78227-2924
Phone
(210) 673-3792
Fax
(210) 673-8837
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

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
Pediatric Dentistry 1223P0221X 9447 TX Primary

Addresses

Primary practice location

7322 W Military Dr
San Antonio, TX 78227-2924

Mailing address

7322 Military Drive West
San Antonio, TX 78227-2924
Phone (210) 673-3792

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9447TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gutierrez Pediatric Dentistry, PC Pediatric Dentistry Past Accepting new patients
Westside Pediatric Dental Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619987229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 MILITARY DRIVE WEST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782272924",
            "telephone_number": "210-673-3792",
            "fax_number": "210-673-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7322 W MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782272924",
            "telephone_number": "210-673-3792",
            "fax_number": "210-673-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "BRETT",
        "middle_name": "HENSLEY",
        "name_prefix": "Dr.",
        "credential": "DDS MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "9447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

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.