Maria Gabriela Mogollon, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN20484 Issued in FL

Practice address

15659 SW 88TH St
Miami, FL 33196-1103

Phone

(786) 597-1636

Fax

(786) 338-7428

NPI assigned

Apr 6, 2009

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• MGM Dental PA

  • Dental Clinic/Center
  • Miami, FL
  • NPI 1396043576
  NPD (past) Authorized official

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1548403579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15659 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961103",
            "telephone_number": "786-597-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15659 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961103",
            "telephone_number": "786-597-1636",
            "fax_number": "786-338-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGOLLON",
        "first_name": "MARIA",
        "middle_name": "GABRIELA",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoan Daniel Mogena Lopez, SA-C
• Kayla Moghavem
• Christine Mogire
• Loreta Mogollon Olivera, COTA/L
• Cristhian E Mogollon, OTA
• Wahid Mohabir, M.D.
• Diana Mohamed Cabrera
• Mohammad M Masri Mdpa (Mohammad M Masri MD)
• Bilal Mohammad
• Mohammad H H a M Mohammad, MD

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.