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
- 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 | Pharmacist |
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 and National Provider Directory roles.
-
- Dentist
- Vacaville, CA
- NPI 1033234877
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.