Mohamed Hussain Mussa, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901601667 Issued in MI

Practice address

139 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-8525

Phone

(517) 332-8665

NPI assigned

Apr 5, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mussa Dental PLLC

  • General Practice Dentistry
  • Huntington Woods, MI
  • NPI 1437039013
  NPD
• Pura Vida Smiles, PC

  • Dentist
  • Jackson, MI
  • NPI 1740602846
  NPD (past)

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1649965872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W LAKE LANSING RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238525",
            "telephone_number": "517-332-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W LAKE LANSING RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238525",
            "telephone_number": "517-332-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSA",
        "first_name": "MOHAMED HUSSAIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Aidan Mullarkey
• Kevin Timothy Mullin, DDS
• Cassandra Nicole Mullings
• Jasdeep Multani
• Paul Mulvey, DO
• Muhammad Mustafa, MD
• Jacob Edward Myers, D.D.S.
• Olivia Myers, OTRL
• Lawrence Walter Mysliwiec, D.O.
• N E Family Physicians & Therapy SVC

• Dentist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.