Ania Maria Mohelicki, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7245 Issued in CO

Practice address

1400 28TH St
Ste 4
Boulder, CO 80303-1096

Phone

(303) 443-0998

Fax

(303) 544-0372

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497818256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 28TH ST",
            "address_2": "STE 4",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031096",
            "telephone_number": "303-443-0998",
            "fax_number": "303-544-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 28TH ST",
            "address_2": "STE 4",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031096",
            "telephone_number": "303-443-0998",
            "fax_number": "303-544-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHELICKI",
        "first_name": "ANIA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Steven Moeller
• Afra Moenter, PHD
• Michelle Justine Moffett
• Lisa Emblen Moffitt
• Mohammad Karbassi, M.D., P.C.
• Nathaniel Mohler, DACM, LAC
• Julie Ann Moinicken, LPC
• Shiraz Moinuddin, M.D.
• Julie Mol
• Sarah Moley, L.AC.,MSAC,MA PSYCH

• General Practice Dentistry in Boulder, CO
• Providers in Boulder, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.