Organization Active NPI

Deep Muko DDS Inc

  • Dentist
  • Temecula, CA
National Provider Identifier
1124795208
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DEEP MUKO DDS INC
Practice address
32605 Temecula Pkwy Ste 213
Temecula, CA 92592-6839
Phone
(951) 303-2818
Fax
(951) 303-6213
NPI assigned
Aug 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Dr. Deep Muko, DDSNPI 1104973593
Title
President
Phone
(951) 303-2818

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: 193400000X SINGLE SPECIALTY GROUP 122300000X 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) 303-2818

Other identifiers 1

IdentifierTypeStateIssuer
0407OtherCAGENERAL DENTISTRY PRACTICE

Other names 1

  • Deep Muko DDS INC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@thesmilesuitetemecula.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Deep Muko DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

32605 US Highway 79
Ste 213
Temecula, CA 92592
Phone (951) 303-2818

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1124795208",
    "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": "951-303-2818",
            "fax_number": "951-303-6213"
        },
        {
            "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": {
        "organization_name": "DEEP MUKO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "MUKO",
        "authorized_official_first_name": "DEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-303-2818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTISTRY PRACTICE",
            "identifier": "0407",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@thesmilesuitetemecula.com",
            "affiliation": "N",
            "endpointDescription": "General Dentist Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "32605 Temecula Pkwy Ste 213",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925926839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Deep Muko DDS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.

Verify at the official NPI Registry.