Active NPI
Mohamed & Associates DDS PA
- Dentist
- Cary, NC
National Provider Identifier
1609895846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7841
- Legal business name
- MOHAMED & ASSOCIATES DDS PA
- Practice address
- 2442 SW Cary Parkway
Cary, NC 27513 - Phone
- (919) 674-6070
- Fax
- (919) 674-6071
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohamed Ismail Mohamed, DDS
- Title
- Dentist
- Phone
- (919) 674-6070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7841 | NC | Primary |
Addresses
Primary practice location
2442 SW Cary Parkway
Cary, NC 27513
Mailing address
2442 SW Cary Parkway
Cary, NC 27513
Phone (919) 674-6070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902592 | Medicaid | NC |
Other names 1
- Crescent Family Dentistry
National Provider Directory
National Provider DirectoryLocations
2442 SW Cary Pkwy
Cary, NC 27513
Phone (919) 674-6070
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Cary, NC
- NPI 1841349388
-
- General Practice Dentistry
- Cary, NC
- NPI 1104606581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1609895846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2442 SW CARY PARKWAY",
"city": "CARY",
"state": "NC",
"postal_code": "27513",
"telephone_number": "919-674-6070",
"fax_number": "919-674-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2442 SW CARY PARKWAY",
"city": "CARY",
"state": "NC",
"postal_code": "27513",
"telephone_number": "919-674-6070",
"fax_number": "919-674-6071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAMED & ASSOCIATES DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "MOHAMED",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "ISMAIL",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "919-674-6070",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "7841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902592",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crescent Family Dentistry",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.