Kenneth a Mogell DMD PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN10118 Issued in FL

Legal business name

KENNETH A MOGELL DMD PA

Practice address

3735 11TH Cir
Ste 105
Vero Beach, FL 32960-4844

Phone

(772) 882-6800

Fax

(772) 882-6802

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth A Mogell, DMD

Title

President

Phone

(772) 882-6800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1063760445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 212",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316308",
            "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": "3735 11TH CIR",
            "address_2": "STE 105",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604844",
            "telephone_number": "772-882-6800",
            "fax_number": "772-882-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A MOGELL DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "MOGELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-882-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN10118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milena Barbara Kelly
• Nancy Beth Kelly, LPN
• Don Robert Kelso, MD
• Alastair Cathcart Kennedy, MD
• Kelly Kennedy, MD
• Kenneth a. Mogell, DMD, PA
• Kenneth L Director MD PA
• Kelsey Kenney
• Lisa Eleanor Kent, APRN-C
• Pamela Kenyon

• Dentist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.