Individual provider Active NPI

George Mui, D.D.S.

  • General Practice Dentistry
  • Mount Prospect, IL
National Provider Identifier
1962624775
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
IL-019016520 Issued in IL
Practice address
221 W Prospect Ave
Mount Prospect, IL 60056-3136
Phone
(847) 253-5901
Fax
(847) 253-5914
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL-019016520 IL Primary

Addresses

Primary practice location

221 W Prospect Ave
Mount Prospect, IL 60056-3136

Mailing address

221 W Prospect Ave
Mount Prospect, IL 60056-3136
Phone (847) 253-5901

Other identifiers 1

IdentifierTypeStateIssuer
364411832OtherILTAX IDENTIFICATION NUMBER

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

LicenseStateTypeSpecialty
IL-019016520ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1962624775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W PROSPECT AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563136",
            "telephone_number": "847-253-5901",
            "fax_number": "847-253-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W PROSPECT AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563136",
            "telephone_number": "847-253-5901",
            "fax_number": "847-253-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUI",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "IL-019016520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "364411832",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.