Individual provider Active NPI

Alexa Bjork Muchiutti, DDS

  • General Practice Dentistry
  • Palm Springs, CA
National Provider Identifier
1669283586
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
110629 Issued in CA
Practice address
490 S Farrell Dr Ste C101
Palm Springs, CA 92262-7962
Phone
(760) 320-7621
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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 110629 CA Primary

Addresses

Primary practice location

490 S Farrell Dr Ste C101
Palm Springs, CA 92262-7962

Mailing address

11659 Butterfield Ave
Loma Linda, CA 92354-3955
Phone (978) 621-3747

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110629CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1669283586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11659 BUTTERFIELD AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543955",
            "telephone_number": "978-621-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S FARRELL DR STE C101",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627962",
            "telephone_number": "760-320-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCHIUTTI",
        "first_name": "ALEXA",
        "middle_name": "BJORK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.