NPIMap

Organization Active NPI

Mobo JV LLC

  • Dental Clinic/Center
  • Heath, TX
National Provider Identifier
1669113056
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MOBO JV LLC
Practice address
1629 Smirl Dr Ste 101
Heath, TX 75032-7624
Phone
(972) 433-6500
NPI assigned
Apr 7, 2022
Last updated
May 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Alicia Laclair
Title
Clinical Systems Director
Phone
(978) 660-6029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1629 Smirl Dr Ste 101
Heath, TX 75032-7624

Mailing address

257 Turnpike Rd Ste 110
Southborough, MA 01772-1791
Phone (508) 281-6464

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@reflectiondentalgroup.com
Direct Messaging Address info@reflectiondentalgroup.com

National Provider Directory

National Provider Directory

Locations

257 Turnpike Rd
Ste 110
Southborough, MA 01772
Phone (774) 283-0051

Interoperability endpoints

  • Direct secure messaging: info@reflectiondentalgroup.com

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1669113056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 TURNPIKE RD STE 110",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721791",
            "telephone_number": "508-281-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 SMIRL DR STE 101",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750327624",
            "telephone_number": "972-433-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBO JV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "LACLAIR",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CLINICAL SYSTEMS DIRECTOR",
        "authorized_official_telephone_number": "978-660-6029"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@reflectiondentalgroup.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1629 Smirl Dr Ste 101",
            "city": "Heath",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750327624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@reflectiondentalgroup.com",
            "affiliation": "N",
            "address_1": "1629 Smirl Dr Ste 101",
            "city": "Heath",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750327624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Heath, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.