Mogell Dental Associates

Primary specialty

DentistTaxonomy code 122300000X

License

DN10118 Issued in FL

Legal business name

MOGELL DENTAL ASSOCIATES

Practice address

2900 N Military TRL
Ste 212
Boca Raton, FL 33431-6365

Phone

(561) 394-9000

Fax

(561) 488-1102

NPI assigned

May 24, 2013

Organization subpart

No

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

Authorized official

Name

Kenneth A Mogell, DMD

Title

President

Phone

(561) 394-9000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1265879670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL",
            "address_2": "STE 212",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316365",
            "telephone_number": "561-394-9000",
            "fax_number": "561-488-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL",
            "address_2": "STE 212",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316365",
            "telephone_number": "561-394-9000",
            "fax_number": "561-488-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOGELL DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "MOGELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-394-9000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN10118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12472337",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Mock, PTA
• Modern Care Collective, LLC
• Modern Medicine Inc
• Paul Modesto, PHD
• Elizabeth Eloise Moffett, LMHC
• Kenneth A Mogell, D.M.D.
• Maryam Moghareh, MD
• Mehrnoush Mohammadpour, PHARMD
• Saadia I Mohammed, D.D.S.
• Vineeth Mohan, M.D.

• Dentist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.