Dr Mosquera Prosthodontics PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR MOSQUERA PROSTHODONTICS PLLC

Practice address

687 E Linton Ave
Springfield, IL 62703-5902

Phone

(718) 909-2550

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

Jorge Enrique Mosquera Castrillon, DDSNPI 1871190884

Title

Dentist

Phone

(561) 635-8018

Specialties & licenses 1

Addresses

Other names 1

• MAKEOVER DENTAL Doing business as

Locations

Practitioners 1

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

• Jorge Enrique Mosquera Castrillon, DDS

  • Dentist
  • Springfield, IL
  • NPI 1871190884
  NPD Authorized official

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1114608965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SANDPIPER DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116722",
            "telephone_number": "561-635-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 E LINTON AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035902",
            "telephone_number": "718-909-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MOSQUERA PROSTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "MOSQUERA CASTRILLON",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "561-635-8018",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAKEOVER DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karl Robert Downing, D.D.S.
• David Thomas Downs, D.O.
• Shelby Lynn Doyle, MD
• Dr Brian Atkins and Associates LTD
• Dr Monte a Reevis DMD Inc
• Dr Robert L Larison PC
• Dr Shannon Poe LCSW DSW PLLC
• Dr. Salusky Clinical Psychology and Consulting PLLC
• Alexis Dragoo
• Bethanie J Drake, LMFT

• Dental Clinic/Center in Springfield, IL
• Providers in Springfield, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.