Active NPI
Deep Muko, D.D.S.
- Dentist
- Temecula, CA
National Provider Identifier
1104973593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 103310
- Practice address
- 32605 Temecula Pkwy Ste 213
Temecula, CA 92592-6839 - Phone
- (951) 303-2818
- Fax
- (951) 303-6213
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 103310 | CA | Primary |
Addresses
Primary practice location
32605 Temecula Pkwy Ste 213
Temecula, CA 92592-6839
Mailing address
32605 Temecula Pkwy Ste 213
Temecula, CA 92592-6839
Phone (951) 296-9661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103310 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deep Muko DDS Inc | Dentist | Current | Accepting new patients |
| Deep Muko DDS, Inc. | Dentist | Current | Accepting new patients |
| Mukherjee DDS Corp | Past | Accepting new patients | |
| R. Mukherjee Dental Inc. | Past | Accepting new patients |
Locations
32605 US Highway 79
Ste 213
Temecula, CA 92592
Phone (951) 303-2818
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Temecula, CA
- NPI 1124795208
-
- Dentist
- San Jacinto, CA
- NPI 1104543792
-
- General Practice Dentistry
- Temecula, CA
- NPI 1871143339
-
- General Practice Dentistry
- Temecula, CA
- NPI 1821925892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1104973593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32605 TEMECULA PKWY STE 213",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925926839",
"telephone_number": "951-296-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32605 TEMECULA PKWY STE 213",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925926839",
"telephone_number": "951-303-2818",
"fax_number": "951-303-6213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKO",
"first_name": "DEEP",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "103310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.