Mussie Sibhatu DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MUSSIE SIBHATU DDS INC

Practice address

3630 Macarthur Blvd
Oakland, CA 94619-1328

Phone

(510) 530-3317

Fax

(510) 530-3370

NPI assigned

Feb 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Mussie Sibhatu, DDSNPI 1376755942

Title

Owner/President

Phone

(510) 530-3317

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mussie Sibhatu DDS, a Dental Corporation

  • Dentist
  • Oakland, CA
  • NPI 1114671997
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mussie Sibhatu, DDS

  • Dentist
  • Oakland, CA
  • NPI 1376755942

  Single Specialty

  NPD Authorized official
• Claudia O. Yu, D.D.S.

  • General Practice Dentistry
  • Oakland, CA
  • NPI 1588854046
  NPD (past)

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1033865621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191328",
            "telephone_number": "510-530-3317",
            "fax_number": "510-530-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191328",
            "telephone_number": "510-530-3317",
            "fax_number": "510-530-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSSIE SIBHATU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "SIBHATU",
        "authorized_official_first_name": "MUSSIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "510-530-3317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naseem Musharbash, DDS
• Swapandeep Mushiana, M.S.
• Susan Musicant
• Sheela Mussayar, PHARMD
• Rafael Musseb-Gil, FL-MH19985/CA-18667
• Mussie Sibhatu DDS, a Dental Corporation
• Marisa N Musso, MS
• Tova Mustacich
• Jennifer Emily Mustard, PA
• Michael Mustille, M.D.

• General Practice Dentistry in Oakland, CA
• Providers in Oakland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.