Organization Active NPI

Nelson B Musgrave DDS Inc

  • General Practice Dentistry
  • Imperial, CA
National Provider Identifier
1962538512
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33819 Issued in CA
Legal business name
NELSON B MUSGRAVE DDS INC
Practice address
2302 Brown Road
Dental Dept
Imperial, CA 92251-0731
Phone
(760) 733-7900
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Nelson B Musgrave, DDS
Title
President/Ceo
Phone
(760) 741-5092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 33819 CA Primary

Addresses

Primary practice location

2302 Brown Road
Dental Dept
Imperial, CA 92251-0731

Mailing address

1357 Hinrichs Way
Escondido, CA 92027-4136
Phone (760) 741-5092

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1962538512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 HINRICHS WAY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920274136",
            "telephone_number": "760-741-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 BROWN ROAD",
            "address_2": "DENTAL DEPT",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922510731",
            "telephone_number": "760-733-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON B MUSGRAVE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "MUSGRAVE",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "760-741-5092",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.