Individual provider Active NPI

Tarek Mohammad Mogharbel, DDS

  • Dentist
  • Washington, DC
National Provider Identifier
1689744104
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1000126 Issued in DC
Practice address
3 Washington Cir NW
Suite 306
Washington, DC 20037-2356
Phone
(202) 775-0167
Fax
(202) 775-8332
NPI assigned
Nov 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN1000126 DC Primary

Addresses

Primary practice location

3 Washington Cir NW
Suite 306
Washington, DC 20037-2356

Mailing address

3 Washington Cir NW
Suite 306
Washington, DC 20037-2356
Phone (202) 775-0167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826000053 DC Practitioner - Oral SurgeryPractitioner - Maxillofacial SurgeryPractitioner - Dentist 2769809540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN1000126DCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mira Dental Care PLLC CurrentSince Apr 7, 2021 Accepting new patients

Locations

5671 Columbia Pike
Ste 101
Falls Church, VA 22041
Phone (571) 633-9455

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689744104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON CIR NW",
            "address_2": "SUITE 306",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372356",
            "telephone_number": "202-775-0167",
            "fax_number": "202-775-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON CIR NW",
            "address_2": "SUITE 306",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372356",
            "telephone_number": "202-775-0167",
            "fax_number": "202-775-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHARBEL",
        "first_name": "TAREK",
        "middle_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1000126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.