Individual provider Active NPI

Robert G Mokbel, DDS

  • Prosthodontics
  • Fountain Valley, CA
National Provider Identifier
1487751566
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
32368 Issued in CA
Practice address
9525 Garfield Ave
Suite # a
Fountain Valley, CA 92708-7206
Phone
(714) 968-0308
Fax
(714) 968-1308
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 32368 CA Primary

Addresses

Primary practice location

9525 Garfield Ave
Suite # a
Fountain Valley, CA 92708-7206

Mailing address

9525 Garfield Ave
Suite # a
Fountain Valley, CA 92708-7206
Phone (714) 968-0308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308000989 CA Order and Referring Only - DentistPractitioner - Dentist 4082910666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32368CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert G Mokbel Dental Corp Prosthodontics 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487751566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 GARFIELD AVE",
            "address_2": "SUITE # A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087206",
            "telephone_number": "714-968-0308",
            "fax_number": "714-968-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 GARFIELD AVE",
            "address_2": "SUITE # A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087206",
            "telephone_number": "714-968-0308",
            "fax_number": "714-968-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKBEL",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "32368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.