A Mola DDS Apc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62246 Issued in CA

Legal business name

A MOLA DDS APC

Doing business as

Select Dental

Practice address

1050 Northgate Dr Ste 505
San Rafael, CA 94903-2542

Phone

(415) 499-9300

NPI assigned

Aug 28, 2018

Last updated

Sep 20, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

ALIREZA MOLA DDS INCAs reported in NPPES

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

Authorized official

Name

Dr. Alireza Mola, GENERAL DENTIST DDSNPI 1467897066

Title

Owner/President

Phone

(510) 590-7297

Specialties & licenses 1

Addresses

Other names 1

• Select Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alireza S Mola, DDS

  • General Practice Dentistry
  • San Leandro, CA
  • NPI 1467897066
  NPD (past) Authorized official
• Rojean Gaeni

  • Dentist
  • San Leandro, CA
  • NPI 1376327239
  NPD (past)

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1043791890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 14TH ST # 100",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771661",
            "telephone_number": "510-587-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NORTHGATE DR STE 505",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032542",
            "telephone_number": "415-499-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MOLA DDS APC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALIREZA MOLA DDS INC",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "MOLA",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "510-590-7297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "GENERAL DENTIST DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Select Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 2020 Optical
• A Broader Living Experience
• A Ladys Touch Inc.
• A&T Enterprise LLC
• Michael P. Aaronson, DDS
• Abaci and Massey Pain Management Center, a Medical Corporation (Bay Area Pain & Wellness Center)
• Maria Elise Donnell Abaci, LCSW
• Lorretta Joy Abbott, M.S.

• General Practice Dentistry in San Rafael, CA
• Providers in San Rafael, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.