Active NPI
Fredrick a. Mueller, D.M.D., PC
- Periodontics
- Corvallis, OR
National Provider Identifier
1982978680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 4959
- Legal business name
- FREDRICK A. MUELLER, D.M.D., PC
- Practice address
- 2601 NW Rolling Green Dr
Corvallis, OR 97330-3519 - Phone
- (541) 757-8330
- Fax
- (541) 757-0238
- NPI assigned
- Feb 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fredrick A. Mueller, D.M.D, PC
- Title
- President/Periodontist
- Phone
- (541) 757-8330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 4959 | OR | Primary |
Addresses
Primary practice location
2601 NW Rolling Green Dr
Corvallis, OR 97330-3519
Mailing address
2601 NW Rolling Green Dr
Corvallis, OR 97330-3519
Phone (541) 757-8330
Other names 1
- Mueller Implants and Periodontics
National Provider Directory
National Provider DirectoryLocations
2601 NW Rolling Green Dr
Corvallis, OR 97330
Phone (541) 757-8330
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Corvallis, OR
- NPI 1477550200
-
- Periodontics
- Corvallis, OR
- NPI 1679711352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330387200000",
"number": "1982978680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 NW ROLLING GREEN DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303519",
"telephone_number": "541-757-8330",
"fax_number": "541-757-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 NW ROLLING GREEN DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303519",
"telephone_number": "541-757-8330",
"fax_number": "541-757-0238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREDRICK A. MUELLER, D.M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-28",
"last_updated": "2012-02-28",
"status": "A",
"authorized_official_last_name": "MUELLER",
"authorized_official_first_name": "FREDRICK",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT/PERIODONTIST",
"authorized_official_telephone_number": "541-757-8330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D, PC"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "OR",
"license": "4959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mueller Implants and Periodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.