Mobile Dental Care of Iowa

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOBILE DENTAL CARE OF IOWA

Practice address

2769 Black Road
Joliet, IL 60435

Phone

(888) 970-3400

NPI assigned

Mar 1, 2022

Organization subpart

No

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

Authorized official

Name

Frank Camarda

Title

President

Phone

(888) 970-3400

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1356097224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 S ROUTE 59 STE 384",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605867756",
            "telephone_number": "888-970-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 BLACK ROAD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "888-970-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DENTAL CARE OF IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "CAMARDA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-970-3400"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Mittler Sr.
• Ryan Miyashiro, DPT
• MNM Home MD Inc.
• Casey A Moauro, MD
• Mobile Dental Care of Delaware, PA
• Kevin Moffatt, PT, DPT, OCS
• Rauby Mohindroo, D.P.M.
• Nadyah Mohiuddin-Jaffar, APRN
• Mokins Healthcare Staffing LLC
• Mokins Healthcare Staffing LLC

• General Practice Dentistry in Joliet, IL
• Providers in Joliet, IL by specialty
• General Practice Dentistry in Illinois

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

Verify at the official NPI Registry.