Individual provider Active NPI

Donald L Muir, D.M.D.

  • General Practice Dentistry
  • San Clemente, CA
National Provider Identifier
1649355264
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033636 Issued in CA
Practice address
171 Avenida Vaquero
Suite a
San Clemente, CA 92672-3601
Phone
(949) 940-1018
Fax
(949) 940-0142
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 033636 CA Primary

Addresses

Primary practice location

171 Avenida Vaquero
Suite a
San Clemente, CA 92672-3601

Mailing address

171 Avenida Vaquero
Suite a
San Clemente, CA 92672-3601
Phone (949) 940-1018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33636CAMDSocial Worker
033636CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649355264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 AVENIDA VAQUERO",
            "address_2": "SUITE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723601",
            "telephone_number": "949-940-1018",
            "fax_number": "949-940-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 AVENIDA VAQUERO",
            "address_2": "SUITE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723601",
            "telephone_number": "949-940-1018",
            "fax_number": "949-940-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUIR",
        "first_name": "DONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "033636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.