Organization Active NPI

Mohamed & Associates DDS PA

  • Dentist
  • Cary, NC
National Provider Identifier
1609895846
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7841 Issued in NC
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

Updated by the provider on Jun 16, 2008

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5902592MedicaidNC

Other names 1

  • Crescent Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.