Roger Michael Mueller, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

3716 Pontoon Rd
Granite City, IL 62040-4252

Phone

(618) 931-5200

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982769964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 HUNTERS RDG",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253061",
            "telephone_number": "618-659-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 PONTOON RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404252",
            "telephone_number": "618-931-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "ROGER",
        "middle_name": "MICHAEL",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad R Ashraf MD
• Robert Montgomery
• Stacy Renae Moody, DMD
• Jillian L Moreno, HIS
• Emily Mouyard
• Multi-Care Specialists SC
• Ana Maria Murillo, DC
• Abubakarr Murray
• Amina Music, MMS, PA-C
• Sailor Myers, DC

• General Practice Dentistry in Granite City, IL
• Providers in Granite City, IL by specialty
• General Practice Dentistry in Illinois

• 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.