Organization Active NPI

Xusheng Mu, D.D.S., Inc.

  • Preferred Provider Organization
  • San Diego, CA
National Provider Identifier
1407041304
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
45930 Issued in CA
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

Updated by the provider on Sep 13, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G93064-01OtherCADENTI-CAL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.