Lisa Mohan, DDS,MPH

Primary specialty

DentistTaxonomy code 122300000X

License

2901020353 Issued in MI

Practice address

2040 Belwood Dr
Okemos, MI 48864-5951

Phone

(612) 735-6347

NPI assigned

Jun 17, 2010

Sex

Female

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1164743779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 BELWOOD DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645951",
            "telephone_number": "612-735-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 BELWOOD DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645951",
            "telephone_number": "612-735-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DDS,MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Mlejnek III
• Emily Mock
• Justine Sherylyn Moe, MD, DDS
• Ilhan Mohamud
• Kamal Mohan, M.D.
• Manoj Mohan, D.O.
• Monika Mohan, M.D.
• Brandi Monroe, BEHAVIOR TECHNICIAN
• Maria del Pilar Monta, LMSW, ACSW
• Montera Health Michigan LLC

• Dentist in Okemos, MI
• Providers in Okemos, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.