Active NPI
Pooja Mody, DDS
- Dentist
- Escondido, CA
National Provider Identifier
1184345639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107941
- Practice address
- 565 S Hidden Trails Rd
Escondido, CA 92027-5118 - Phone
- (619) 885-2725
- NPI assigned
- Sep 2, 2022
- Last updated
- Sep 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 107941 | CA | Primary |
Addresses
Primary practice location
565 S Hidden Trails Rd
Escondido, CA 92027-5118
Mailing address
565 S Hidden Trails Rd
Escondido, CA 92027-5118
Phone (619) 885-2725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107941 | CA | MD | Marriage & Family Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1184345639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 S HIDDEN TRAILS RD",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920275118",
"telephone_number": "619-885-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 S HIDDEN TRAILS RD",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920275118",
"telephone_number": "619-885-2725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODY",
"first_name": "POOJA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.