Shay Brannan Mushet, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

53053 Issued in CA

Practice address

7930 Frost St
Ste 101
San Diego, CA 92123-2737

Phone

(858) 492-9977

Fax

(858) 492-9910

NPI assigned

Sep 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1174517486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15622 NEW PARK TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921274150",
            "telephone_number": "310-909-6847",
            "fax_number": "858-832-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 FROST ST",
            "address_2": "STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232737",
            "telephone_number": "858-492-9977",
            "fax_number": "858-492-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHET",
        "first_name": "SHAY",
        "middle_name": "BRANNAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53053",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009476",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "53053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002094762",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maram Musallam
• Connie Mae Musaraca
• Carrie Muschek, BCBA
• Jeri Lyn Muse, PH.D., D.A.A.P.M.
• Museum School Collaborative
• Lumumba C. Mushonga
• Lisa Marie Musial, DO
• Anthony David Musick, LMFT
• Musicworx Inc
• Stephen Keith Musik, SFIDC

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.