Active NPI
Kenneth a. Mogell, DMD, PA
Doing business as Florida Dental Sleep Disorders
- Dentist
- Boca Raton, FL
National Provider Identifier
1114242393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 10118
- Legal business name
- KENNETH A. MOGELL, DMD, PA
- Doing business as
- Florida Dental Sleep Disorders
- Practice address
- 2900 N Military TRL
Ste. 212
Boca Raton, FL 33431-6365 - Phone
- (561) 394-9000
- Fax
- (561) 477-2947
- NPI assigned
- Mar 31, 2010
- 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
- Dr. Kenneth Mogell, D.M.D.
- Title
- Dentist
- Phone
- (561) 270-2349
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 10118 | FL | Primary |
Addresses
Primary practice location
2900 N Military TRL
Ste. 212
Boca Raton, FL 33431-6365
Mailing address
2900 N Military TRL
Ste. 212
Boca Raton, FL 33431-6365
Phone (561) 394-9000
Other names 1
- Florida Dental Sleep Disorders
National Provider Directory
National Provider DirectoryLocations
2900 N Military Trl
Ste 21
Boca Raton, FL 33431
1400 Pine St
Ste A
Melbourne, FL 32901
Phone (321) 313-5350
3735 11th Cir
Ste 105
Vero Beach, FL 32960
Phone (772) 492-9288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634515200000",
"number": "1114242393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 N MILITARY TRL",
"address_2": "STE. 212",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316365",
"telephone_number": "561-394-9000",
"fax_number": "561-477-2947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N MILITARY TRL",
"address_2": "STE. 212",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316365",
"telephone_number": "561-394-9000",
"fax_number": "561-477-2947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH A. MOGELL, DMD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-31",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A",
"authorized_official_last_name": "MOGELL",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "561-270-2349",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN 10118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Dental Sleep Disorders",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.