Active NPI
Xusheng Mu, D.D.S., Inc.
- Preferred Provider Organization
- San Diego, CA
National Provider Identifier
1407041304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 45930
- Legal business name
- XUSHENG MU, D.D.S., INC.
- Practice address
- 4716 Clairemont Mesa Blvd
San Diego, CA 92117-2006 - Phone
- (858) 270-4588
- Fax
- (858) 272-8030
- NPI assigned
- Sep 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Xusheng Mu, D.D.S.
- Title
- President
- Phone
- (858) 270-4588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 45930 | CA | Primary |
Addresses
Primary practice location
4716 Clairemont Mesa Blvd
San Diego, CA 92117-2006
Mailing address
4716 Clairemont Mesa Blvd
San Diego, CA 92117-2006
Phone (858) 270-4588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G93064-01 | Other | CA | DENTI-CAL |
National Provider Directory
National Provider DirectoryLocations
4716 Clairemont Mesa Blvd
San Diego, CA 92117
Phone (858) 270-4588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189641600000",
"number": "1407041304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 CLAIREMONT MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921172006",
"telephone_number": "858-270-4588",
"fax_number": "858-272-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4716 CLAIREMONT MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921172006",
"telephone_number": "858-270-4588",
"fax_number": "858-272-8030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XUSHENG MU, D.D.S., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-13",
"last_updated": "2007-09-13",
"status": "A",
"authorized_official_last_name": "MU",
"authorized_official_first_name": "XUSHENG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-270-4588",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CA",
"license": "45930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "G93064-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.