Active NPI
Roberto L Muller, MD
- Student in an Organized Health Care Education/Training Program
- Durham, NC
National Provider Identifier
1689973265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- CRM-RS 25821
- Practice address
- 822 Marilee Glen CT
Durham, NC 27705-5677 - Phone
- (919) 667-8077
- NPI assigned
- Mar 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CRM-RS 25821 | ZZ | Primary |
Addresses
Primary practice location
822 Marilee Glen CT
Durham, NC 27705-5677
Mailing address
822 Marilee Glen CT
Durham, NC 27705-5677
Phone (919) 667-8077
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRM-RS 25821 | ZZ | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1689973265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 MARILEE GLEN CT",
"city": "DURHAM",
"state": "NC",
"postal_code": "277055677",
"telephone_number": "919-667-8077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 MARILEE GLEN CT",
"city": "DURHAM",
"state": "NC",
"postal_code": "277055677",
"telephone_number": "919-667-8077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLER",
"first_name": "ROBERTO",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-22",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "ZZ",
"license": "CRM-RS 25821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.