NPIMap

Organization Active NPI

Mu Mu Min DMD MSD Inc

Doing business as Vacaville Endodontics

  • Dentist
  • Vacaville, CA
National Provider Identifier
1033234877
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38882 Issued in CA
Legal business name
MU MU MIN DMD MSD INC
Doing business as
Vacaville Endodontics
Practice address
2611 Nut Tree Rd
Suite #D
Vacaville, CA 95687-6839
Phone
(707) 449-8808
Fax
(707) 449-6303
NPI assigned
Mar 20, 2007
Last updated
Dec 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Dr. Mu Mu Min, DMD MSDNPI 1982975116
Title
Ceo
Phone
(707) 449-8808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 38882 CA Primary

Addresses

Primary practice location

2611 Nut Tree Rd
Suite #D
Vacaville, CA 95687-6839

Mailing address

2611 Nut Tree Rd
Suite #D
Vacaville, CA 95687-6839
Phone (707) 449-8808

Other names 1

  • Vacaville Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2611 Nut Tree Rd
Ste D
Vacaville, CA 95687
Phone (707) 449-8808

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1033234877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 NUT TREE RD",
            "address_2": "SUITE #D",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876839",
            "telephone_number": "707-449-8808",
            "fax_number": "707-449-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 NUT TREE RD",
            "address_2": "SUITE #D",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876839",
            "telephone_number": "707-449-8808",
            "fax_number": "707-449-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MU MU MIN DMD MSD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "MIN",
        "authorized_official_first_name": "MU MU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-449-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MSD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vacaville Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.