Mohamed & Associates DDS PA I

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MOHAMED & ASSOCIATES DDS PA I

Doing business as

Viva Dental

Practice address

1609 W Arlington Blvd Ste 107
Greenville, NC 27834-5610

Phone

(252) 321-8580

Fax

(252) 321-8582

NPI assigned

Oct 28, 2021

Organization subpart

No

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

Authorized official

Name

Rachel Weathers, MBA

Title

Consultant

Phone

(336) 549-3330

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Viva Dental Doing business as

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1245994953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 W ARLINGTON BLVD STE 107",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345610",
            "telephone_number": "252-321-8580",
            "fax_number": "252-321-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W ARLINGTON BLVD STE 107",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345610",
            "telephone_number": "252-321-8580",
            "fax_number": "252-321-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMED & ASSOCIATES DDS PA I",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "WEATHERS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "336-549-3330",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950786",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viva Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aakash Modi, M.D.
• Ritu Modi, M.D
• Suresh Paul Modi, MD
• Johnna Chatham Modlin, MS CCC SLP
• Melissa Yen Yen Moey, M.D.
• Mohamed and Foulkes DDS PA IV (Greenville Smiles)
• Gabriella Mohamed-Fernandez
• Abdinasir A Mohamed, DDS
• Rana Mohamed, MD
• Ahmed Nabil Ahmed Mohammad, MD

• Dentist in Greenville, NC
• Providers in Greenville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.