Mohan V R PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOHAN V R PLLC

Doing business as

Elite Dental

Practice address

4877 Fredericksburg Rd
San Antonio, TX 78229-3627

Phone

(210) 342-8251

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Mohan Raj Jaganthan, DDS

Title

Owner/Dentist

Phone

(210) 342-8251

Specialties & licenses 1

Addresses

Other names 1

• Elite Dental Doing business as

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1609527704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4877 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293627",
            "telephone_number": "210-342-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4877 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293627",
            "telephone_number": "210-342-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAN V R PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "JAGANTHAN",
        "authorized_official_first_name": "MOHAN RAJ",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "210-342-8251",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Milad Mohammadi, M.D.
• Seyed Omid Mohammadi, MD
• Hanaa Mohammed
• Jordan N. Mohammed, ACNP
• Usman Mohammed, DMD
• Sowjanya S. Mohan, M.D.
• Sowmya S Mohan, MD
• Martha Alena Mohd-Yusof
• Roya Mohebpour, MD
• Ashley Mohesky

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.