Mockingbird Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOCKINGBIRD DENTAL ASSOCIATES

Practice address

99 Mockingbird Dr
Cartersville, GA 30120-2826

Phone

(770) 386-3908

NPI assigned

Mar 13, 2019

Last updated

Mar 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan M. OwensNPI 1316173933

Title

Owner

Phone

(770) 382-0330

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan M Owens, DMD

  • General Practice Dentistry
  • Cartersville, GA
  • NPI 1316173933
  Authorized official Same address or phone
• Paul A. Eberhard, DDS

  • General Practice Dentistry
  • Cartersville, GA
  • NPI 1831191675
  NPD (past)
• Masoud Shoukoohi, DMD

  • Dentist
  • Cartersville, GA
  • NPI 1063659571
  NPD (past)

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1457810129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MOCKINGBIRD DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MOCKINGBIRD DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202826",
            "telephone_number": "770-386-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOCKINGBIRD DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-382-0330"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milton Brown &Associates, Inc. (Eastchester Family Services)
• Milton Brown and Associates, Inc. (Eastchester Family Services)
• Keri Jean Mims, MA
• Amanda Leah Mirandy, O.T.
• Ariana Mirshahi, PT, DPT
• Mohammed Abbas Momin, M.D.
• Maria Cristina Moncayo Gilstrap
• Aman Mongia, M.D.
• Anu R Mongia, MD
• Armando Montana, PA

• General Practice Dentistry in Cartersville, GA
• Providers in Cartersville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.

Verify at the official NPI Registry.