Noe Mora, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53470 Issued in CA

Practice address

3133 W March LN Ste 1080
Stockton, CA 95219-2360

Phone

(209) 951-4304

Fax

(209) 951-8910

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mora Dental Group, Inc.

  • General Practice Dentistry
  • Stockton, CA
  • NPI 1093132185
  NPD (past) Authorized official
• Edith Mora DMD, Inc.

  • General Practice Dentistry
  • Stockton, CA
  • NPI 1245628270
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1285693168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 W MARCH LN STE 1080",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192360",
            "telephone_number": "209-951-4304",
            "fax_number": "209-951-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 W MARCH LN STE 1080",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192360",
            "telephone_number": "209-951-4304",
            "fax_number": "209-951-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "NOE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "3750",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431567699",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edith I Mora, DMD
• Isabella Xilonen Mora
• Kamely Mora
• Karely Mora
• Lilia E Mora
• Samantha Glen F. Mora
• Alienna Kathryn Moraitis
• Kelly Adilia Morales Conrado
• Andrea Morales
• Carlos Alexis Morales

• General Practice Dentistry in Stockton, CA
• Providers in Stockton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.