Mobiledoc LTD.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019022252 Issued in IL

Legal business name

MOBILEDOC LTD.

Practice address

1525 E 53Rd St
Suite 505
Chicago, IL 60615-4557

Phone

(312) 953-8708

NPI assigned

Aug 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Clark G Dawson, DDSNPI 1295805380

Title

President/Ceo

Phone

(312) 953-8708

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clark G. Dawson, DDS

  • Dentist
  • Harvey, IL
  • NPI 1295805380
  NPD (past) Authorized official

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1376919258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST",
            "address_2": "SUITE 505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154557",
            "telephone_number": "312-953-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST",
            "address_2": "SUITE 505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154557",
            "telephone_number": "312-953-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILEDOC LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "312-953-8708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019022252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Lab Solution, LLC
• Mobile Medical and Dental Services, P.C.
• Mobile Medical Diagnostic Inc
• Mobile Office-Based Anesthesia of Western New York PLLC
• Mobile Smiles
• Mobilevax Staffing LLC
• Parisa Mobini, O.D.
• Miriam Anita Mobley Smith, PHARM.D.
• Allison Marie Mobley
• David Mobley

• All providers in Chicago, IL
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.