Individual provider Active NPI

Dawud Abdul Muhaimin, DDS

  • Dentist
  • Vacaville, CA
National Provider Identifier
1730246331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46502 Issued in CA
Practice address
179 Elmira Rd
Suite H
Vacaville, CA 95687-4732
Phone
(707) 446-6236
NPI assigned
Jan 2, 2007
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
Dentist 122300000X 46502 CA Primary

Addresses

Primary practice location

179 Elmira Rd
Suite H
Vacaville, CA 95687-4732

Mailing address

618 Maddalena Way
Fairfield, CA 94534-6741
Phone (707) 864-9769

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730246331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 MADDALENA WAY",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346741",
            "telephone_number": "707-864-9769",
            "fax_number": "707-864-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 ELMIRA RD",
            "address_2": "SUITE H",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874732",
            "telephone_number": "707-446-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAIMIN",
        "first_name": "DAWUD",
        "middle_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, 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.