Active NPI
Mumu Min, D.M.D.
- Endodontics
- Vacaville, CA
National Provider Identifier
1982975116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 38882
- Practice address
- 2611 Nut Tree Rd
Suite #D
Vacaville, CA 95687 - Phone
- (707) 449-8808
- Fax
- (707) 449-6303
- NPI assigned
- Jan 19, 2012
- Last updated
- Jan 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 38882 | CA | Primary |
Addresses
Primary practice location
2611 Nut Tree Rd
Suite #D
Vacaville, CA 95687
Mailing address
2611 Nut Tree Rd
Suite #D
Vacaville, CA 95687
Phone (707) 449-8808
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38882 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mu Mu Min DMD MSD Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1982975116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 NUT TREE RD",
"address_2": "SUITE #D",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "95687",
"telephone_number": "707-449-8808",
"fax_number": "707-449-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 NUT TREE RD",
"address_2": "SUITE #D",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "95687",
"telephone_number": "707-449-8808",
"fax_number": "707-449-6303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIN",
"first_name": "MUMU",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "38882",
"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 Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.