Organization Active NPI

Ahmad Mokbil DDS Inc

  • Dentist
  • Sacramento, CA
National Provider Identifier
1114577343
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AHMAD MOKBIL DDS INC
Practice address
992 Florin Rd
Sacramento, CA 95831-3515
Phone
(916) 221-9970
Fax
(916) 288-9551
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Ahmad Mokbil, DDS
Title
Owner
Phone
(916) 221-9970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

992 Florin Rd
Sacramento, CA 95831-3515

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8500

Other names 1

  • GREENHAVEN MODERN DENTISTRY DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

992 Florin Rd
Sacramento, CA 95831
Phone (916) 221-9970

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1114577343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313515",
            "telephone_number": "916-221-9970",
            "fax_number": "916-288-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD MOKBIL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "MOKBIL",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-221-9970",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENHAVEN MODERN DENTISTRY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.