Mohammed Dwelee, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

31691 Issued in TX

Practice address

2555 E League City Pkwy
160
League City, TX 77573

Phone

(713) 346-9997

NPI assigned

Jul 19, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• League City Smiles Dentistry,PC

  • Dentist
  • League City, TX
  • NPI 1265899272
  NPD (past)

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1568815231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E LEAGUE CITY PKWY APT 1115",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736049",
            "telephone_number": "502-224-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E LEAGUE CITY PKWY",
            "address_2": "160",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "713-346-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWELEE",
        "first_name": "MOHAMMED",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31691",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dumdieter Pharmacy LLC
• Tia Marie Jaynes Dunbar, LCSW
• Tiffani Brooke Dunn, D.M.D.
• William Jared Dupree, LMFT
• Casey W Duty, LPC
• Anna Jeanne Dyer, M.A., LPC
• Stephen Wade Earnhart, CRNA
• Afra Ebrahimi Tari
• Rachael Mary Edelman, LPC
• Tara Michelle Edmondson, LPC

• Dentist in League City, TX
• Providers in League City, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.