Mark a. Mobley, DDS, Prof. Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

034028 Issued in CA

Legal business name

MARK A. MOBLEY, DDS, PROF. CORP.

Practice address

41592 Indian TRL Ste a
Rancho Mirage, CA 92270-5401

Phone

(760) 341-1459

Fax

(760) 568-4120

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mark Anthony Mobley, DDS

Title

President

Phone

(760) 341-1459

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528278488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41592 INDIAN TRL STE A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705401",
            "telephone_number": "760-341-1459",
            "fax_number": "760-568-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41592 INDIAN TRL STE A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705401",
            "telephone_number": "760-341-1459",
            "fax_number": "760-568-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. MOBLEY, DDS, PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-341-1459",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "034028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• General Practice Dentistry in California

• 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.