Brian Mudd DDS PDC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

87 Issued in CA

Legal business name

BRIAN MUDD DDS PDC

Practice address

3211 Business Park Dr
Suite a
Vista, CA 92081-8529

Phone

(760) 727-5613

Fax

(760) 727-4225

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Brian D Mudd, DDS

Title

Admin

Phone

(760) 727-5613

Specialties & licenses 1

Addresses

Other names 1

• Dental Specialty Care Doing business as

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1013285436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 SAN PABLO DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784701",
            "telephone_number": "760-727-5613",
            "fax_number": "760-727-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 BUSINESS PARK DR",
            "address_2": "SUITE A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818529",
            "telephone_number": "760-727-5613",
            "fax_number": "760-727-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN MUDD DDS PDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "MUDD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "760-727-5613",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "87",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail E Brantl, PT
• Renato Ulises Bravo
• Breath of Life
• Jay Edward Brechtel
• Angela Maria Bretton, FNP-BC
• Kathleen Marie Bright
• Paul H Brion, M.D.
• Victoria Briseno
• Dymna Gemino Brizo, RN
• Christine Z Brody, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Vista, CA
• Providers in Vista, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.