Mircea Catalin Mitu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50322 Issued in CA

Practice address

521 E Center St
Manteca, CA 95336-4719

Phone

(209) 420-1205

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Western Dental Services, Inc.

  • General Practice Dentistry
  • Antioch, CA
  • NPI 1659427771
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663372800000",
    "number": "1881754505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E CENTER ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364719",
            "telephone_number": "209-823-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E CENTER ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364719",
            "telephone_number": "209-420-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITU",
        "first_name": "MIRCEA",
        "middle_name": "CATALIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-09-17",
        "certification_date": "2022-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max William Miller, MD
• Matthew Hoyt Milnes, D.D.S.
• Marilou Ancheta Miranda
• Mirandahealth Medical Center Inc a Professional Nursing Corporation
• Vishal Kumar Mittal, FNP
• Tonisha Mixon
• Hitshkumar Manubhai Modi, D.D.S
• Jayshree Mahesh Modi, RPH
• Ma Aye A. Moe, MD
• Mohammad Haghdoost MD Medical Corporation

• General Practice Dentistry in Manteca, CA
• Providers in Manteca, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.