Organization Active NPI

Mark J. Mokas D.D.S., P.C.

  • Dentist
  • Sandy Springs, GA
National Provider Identifier
1396964003
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
011459 Issued in GA
Legal business name
MARK J. MOKAS D.D.S., P.C.
Doing business as
Northside Dental
Practice address
7260 Roswell Rd NE
Sandy Springs, GA 30328-1420
Phone
(770) 671-1111
Fax
(770) 379-0992
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark J Mokas, D.D.S.
Title
Owner-Dentist
Phone
(770) 671-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 011459 GA Primary

Addresses

Primary practice location

7260 Roswell Rd NE
Sandy Springs, GA 30328-1420

Mailing address

7260 Roswell Rd NE
Sandy Springs, GA 30328-1420
Phone (770) 671-1111

Other names 1

  • Northside Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396964003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 ROSWELL RD NE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303281420",
            "telephone_number": "770-671-1111",
            "fax_number": "770-379-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 ROSWELL RD NE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303281420",
            "telephone_number": "770-671-1111",
            "fax_number": "770-379-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J. MOKAS D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOKAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER-DENTIST",
        "authorized_official_telephone_number": "770-671-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "011459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.