Zain Bin Mushtaq

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.028009 Issued in OH

Practice address

4954 Great Northern Mall
North Olmsted, OH 44070-3307

Phone

(440) 252-0502

NPI assigned

Mar 19, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1356101380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 GREAT NORTHERN MALL",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703307",
            "telephone_number": "929-535-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 GREAT NORTHERN MALL",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703307",
            "telephone_number": "440-252-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHTAQ",
        "first_name": "ZAIN BIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.028009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Kay Mortensen
• Latasha A Moss
• Mohammad Muntaser
• Angela Marie Murphy, DO
• Kimberly Michele Murray, LISW
• Stephen Charles Musser, DPM
• Hanan Mustafa
• Shadia Mustafa
• Kevin M Myers, PT
• Dashundra M Myrick

• General Practice Dentistry in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.