NPIMap

Organization Active NPI

John J. Muzio, III, D.D.S.

Doing business as Southland Dental Care

  • General Practice Dentistry
  • Hayward, CA
National Provider Identifier
1205052412
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24488 Issued in CA
Legal business name
JOHN J. MUZIO, III, D.D.S.
Doing business as
Southland Dental Care
Practice address
771 Southland Dr
Hayward, CA 94545-1538
Phone
(510) 785-7010
Fax
(510) 783-4357
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John J. Muzio III, D.D.S.NPI 1598102303
Title
President
Phone
(510) 785-7010

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
General Practice Dentistry 1223G0001X 24488 CA Primary

Addresses

Primary practice location

771 Southland Dr
Hayward, CA 94545-1538

Mailing address

771 Southland Dr
Hayward, CA 94545-1538
Phone (510) 785-7010

Other names 1

  • Southland Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

771 Southland Dr
Hayward, CA 94545
Phone (510) 785-7010

Practitioners & affiliated clinicians

Practitioners 4

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205052412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 SOUTHLAND DR",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451538",
            "telephone_number": "510-785-7010",
            "fax_number": "510-783-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 SOUTHLAND DR",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451538",
            "telephone_number": "510-785-7010",
            "fax_number": "510-783-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. MUZIO, III, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUZIO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-785-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southland Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.