Active NPI
Raymond B Muehling, DDS
- Dentist
- Bolingbrook, IL
National Provider Identifier
1780745224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 406 W Boughton Rd
Bolingbrook, IL 60440 - Phone
- (630) 759-8940
- Fax
- (630) 759-9392
- NPI assigned
- Dec 12, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
406 W Boughton Rd
Bolingbrook, IL 60440
Mailing address
3636 Quince CT
Downers Grove, IL 60515
Phone (630) 971-3593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15921 | Other | IL | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019014232 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780745224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 QUINCE CT",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60515",
"telephone_number": "630-971-3593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 W BOUGHTON RD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "60440",
"telephone_number": "630-759-8940",
"fax_number": "630-759-9392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUEHLING",
"first_name": "RAYMOND",
"middle_name": "B",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "15921",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bolingbrook, IL
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.