Organization Active NPI

Kenneth a. Mogell, DMD, PA

Doing business as Florida Dental Sleep Disorders

  • Dentist
  • Boca Raton, FL
National Provider Identifier
1114242393
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 10118 Issued in FL
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

Updated by the provider on Oct 18, 2021

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.