Active NPI
Kenneth A Mogell, D.M.D.
- General Practice Dentistry
- Boca Raton, FL
National Provider Identifier
1013035039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN10118
- Practice address
- 2900 N Military TRL
Suite 212
Boca Raton, FL 33431-6365 - Phone
- (561) 394-9000
- Fax
- (561) 988-1102
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN10118 | FL | Primary |
Addresses
Primary practice location
2900 N Military TRL
Suite 212
Boca Raton, FL 33431-6365
Mailing address
2900 N Military TRL
Suite 212
Boca Raton, FL 33431-6365
Phone (561) 394-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110825000500 | FL | Practitioner - Oral Surgery | 3375733041 |
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- University of Florida College of Dentistry, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2900 N Military TRL
Suite 212
Boca Raton, FL 33431-6308
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.61 of 100
- Quality
- 61.22
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Dental Sleep Disorders, P.a. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dentist
- Vero Beach, FL
- NPI 1063760445
-
- Dentist
- Boca Raton, FL
- NPI 1265879670
-
- Dentist
- Melbourne, FL
- NPI 1255178950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1013035039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 N MILITARY TRL",
"address_2": "SUITE 212",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316365",
"telephone_number": "561-394-9000",
"fax_number": "561-988-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N MILITARY TRL",
"address_2": "SUITE 212",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316365",
"telephone_number": "561-394-9000",
"fax_number": "561-988-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGELL",
"first_name": "KENNETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN10118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.