NPIMap

Organization Active NPI

Ammar Mousa DDS LLC

  • Dental Clinic/Center
  • The Villages, FL
National Provider Identifier
1104491661
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AMMAR MOUSA DDS LLC
Practice address
717 Kristine Way
The Villages, FL 32163-0099
Phone
(352) 461-0599
Fax
(352) 748-3345
NPI assigned
May 26, 2021
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Ammar Mousa, DDS
Title
Dentist
Phone
(352) 461-0599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

717 Kristine Way
The Villages, FL 32163-0099

Mailing address

717 Kristine Way
The Villages, FL 32163-0099
Phone (352) 461-0599

National Provider Directory

National Provider Directory
Tax ID family
Ammar Mousa DDS LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

717 Kristine Way
The Villages, FL 32163
Phone (352) 461-0599

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1104491661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 KRISTINE WAY",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321630099",
            "telephone_number": "352-461-0599",
            "fax_number": "352-748-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 KRISTINE WAY",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321630099",
            "telephone_number": "352-461-0599",
            "fax_number": "352-748-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMMAR MOUSA DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "MOUSA",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "352-461-0599",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.