Active NPI
Rosa Mora D.D.S
- Dentist
- Alton, TX
National Provider Identifier
1114154952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20419
- Legal business name
- ROSA MORA D.D.S
- Practice address
- 921 E Main Ave
Suite2
Alton, TX 78573-0952 - Phone
- (956) 583-5050
- Fax
- (956) 583-5067
- NPI assigned
- Jun 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rosa Mora, DDS
- Title
- Owner
- Phone
- (956) 583-5050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 20419 | TX | Primary |
Addresses
Primary practice location
921 E Main Ave
Suite2
Alton, TX 78573-0952
Mailing address
921 E Main Ave
Suite 2
Mission, TX 78573
Phone (956) 583-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151616301 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245369600000",
"number": "1114154952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 E MAIN AVE",
"address_2": "SUITE 2",
"city": "MISSION",
"state": "TX",
"postal_code": "78573",
"telephone_number": "956-583-5050",
"fax_number": "956-583-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 E MAIN AVE",
"address_2": "SUITE2",
"city": "ALTON",
"state": "TX",
"postal_code": "785730952",
"telephone_number": "956-583-5050",
"fax_number": "956-583-5067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSA MORA D.D.S",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-19",
"last_updated": "2009-06-19",
"status": "A",
"authorized_official_last_name": "MORA",
"authorized_official_first_name": "ROSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-583-5050",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": "20419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151616301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.