Organization Active NPI

Mueni L. Mutinga D.D.S. Dental Corporation

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1578758967
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48518 Issued in CA
Legal business name
MUENI L. MUTINGA D.D.S. DENTAL CORPORATION
Practice address
3701 Market St
Suite E
Riverside, CA 92501-3250
Phone
(951) 786-9600
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Mueni Lorraine Mutinga, D.D.S.NPI 1124224720
Title
Ceo
Phone
(909) 810-9930

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48518 CA Primary

Addresses

Primary practice location

3701 Market St
Suite E
Riverside, CA 92501-3250

Mailing address

3701 Market St
Suite E
Riverside, CA 92501-3250
Phone (951) 786-9600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1578758967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 MARKET ST",
            "address_2": "SUITE E",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013250",
            "telephone_number": "951-786-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 MARKET ST",
            "address_2": "SUITE E",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013250",
            "telephone_number": "951-786-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUENI L. MUTINGA D.D.S. DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "MUTINGA",
        "authorized_official_first_name": "MUENI",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-810-9930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.