Active NPI
Diana Leigh Mohr, DDS
- General Practice Dentistry
- Pampa, TX
National Provider Identifier
1285990044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34689
- Practice address
- 2427 N Hobart St
Pampa, TX 79065 - Phone
- (806) 665-0921
- NPI assigned
- Apr 5, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 00201958 | CO | |
| General Practice Dentistry | 1223G0001X | 34689 | TX | Primary |
Addresses
Primary practice location
2427 N Hobart St
Pampa, TX 79065
Mailing address
2427 N Hobart St
Pampa, TX 79065-2723
Phone (806) 665-0921
Other practice location 1
806 Country Club Pkwy
Castle Rock, CO 80108-9076
Phone (970) 988-9244
Other names 1
- Diana Leigh Rubino
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 |
|---|---|---|---|
| 00201958 | CO | MD | General Practice Dentistry |
| 34689 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pampa Dental Arts PLLC | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Pampa, TX
- NPI 1306314737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1285990044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2427 N HOBART ST",
"city": "PAMPA",
"state": "TX",
"postal_code": "790652723",
"telephone_number": "806-665-0921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2427 N HOBART ST",
"city": "PAMPA",
"state": "TX",
"postal_code": "79065",
"telephone_number": "806-665-0921"
}
],
"practiceLocations": [
{
"address_1": "806 Country Club Pkwy",
"address_purpose": "LOCATION",
"city": "Castle Rock",
"state": "CO",
"postal_code": "801089076",
"country_code": "US",
"telephone_number": "970-988-9244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHR",
"first_name": "DIANA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-05",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "00201958",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "RUBINO",
"middle_name": "LEIGH",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pampa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.