Tarig a Elmubarak Mohamed, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42113 Issued in TX

Practice address

4522 Fredericksburg Rd Ste A28
San Antonio, TX 78201-6547

Phone

(210) 530-8841

NPI assigned

Apr 8, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SD- 4315Frederick PC

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1174074496
  NPD (past)

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1154063469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29242",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782290242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 FREDERICKSBURG RD STE A28",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782016547",
            "telephone_number": "210-530-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "TARIG A ELMUBARAK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-08",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawit Moges
• Roshan Mogul, BCBA
• Ade Mohamed
• Seifeldin Mohamed
• Shaffin Ali Mohamed, M.D.
• Zahra Mohamed, DO
• Shanzay Mohammad, DO
• Yusif Mohammad, DDS
• Milad Mohammadi, M.D.
• Seyed Omid Mohammadi, MD

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.