Individual provider Active NPI

Peter Muraglia, DDS

  • Dentist
  • Plainfield, IL
National Provider Identifier
1659534378
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19020930 Issued in IL
Practice address
15210 S Rte 59
Plainfield, IL 60544-2682
Phone
(815) 436-3399
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19020930 IL Primary

Addresses

Primary practice location

15210 S Rte 59
Plainfield, IL 60544-2682

Mailing address

15210 S Rte 59
Plainfield, IL 60544-2682
Phone (815) 436-3399

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160314001467 IL Order and Referring Only - DentistPractitioner - Dentist 3375849599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19020930ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Plainfield Dental, LTD. Past Accepting new patients
Plainfield Dental Practice Inc PastSince Jan 1, 2023 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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1659534378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 S RTE 59",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442682",
            "telephone_number": "815-436-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15210 S RTE 59",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442682",
            "telephone_number": "815-436-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURAGLIA",
        "first_name": "PETER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "19020930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.