Individual provider Active NPI

Kenneth A Mogell, D.M.D.

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1013035039
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10118 Issued in FL
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

Updated by the provider on Mar 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as individual
Quality
61.22
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Dental Sleep Disorders, P.a. PastSince Jul 21, 2024 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.

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

Verify at the official NPI Registry.