Active NPI
Mohammad Hossein Mirmohammadi, D.M.D
- Dentist
- McAllen, TX
National Provider Identifier
1073613519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18414
- Practice address
- 801 E Nolana St
Suite 21
McAllen, TX 78504-6104 - Phone
- (956) 631-5700
- Fax
- (956) 631-1717
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 18414 | TX | Primary |
Addresses
Primary practice location
801 E Nolana St
Suite 21
McAllen, TX 78504-6104
Mailing address
801 E Nolana St
Suite 21
McAllen, TX 78504-6104
Phone (956) 631-5700
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 |
|---|---|---|---|
| 18414 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nolana Family Dental, PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- McAllen, TX
- NPI 1750774121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073613519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E NOLANA ST",
"address_2": "SUITE 21",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785046104",
"telephone_number": "956-631-5700",
"fax_number": "956-631-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E NOLANA ST",
"address_2": "SUITE 21",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785046104",
"telephone_number": "956-631-5700",
"fax_number": "956-631-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRMOHAMMADI",
"first_name": "MOHAMMAD HOSSEIN",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "18414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.