Cameron Mustain, DOM, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0951 Issued in AZ

Practice address

6440 E Broadway Blvd
Tucson, AZ 85710-3504

Phone

(520) 881-0827

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Chilan Mustain Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1689100646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103504",
            "telephone_number": "520-881-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103504",
            "telephone_number": "520-881-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAIN",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "DOM, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0951",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHILAN",
            "last_name": "MUSTAIN",
            "prefix": "DR.",
            "credential": "DOM, LAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adam Richard Musgrave, PA-C
• Malcolm E Musgrave, D.D.S.
• David Louis Musicant, D.O.
• Michelle Musquiz
• Daniel Musselwhite, PT
• Daniela Muster, LMT
• Timothy A Musty, M.S.S.W.
• Sunitha M Musuku, MD
• Marie Musuraca, PT
• Francis Kioko Musyoki, NP-PSYCHIATRY

• Acupuncturist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.