Fatima Ibrahim Mohamed, DENTAL HYGIENIST

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2005014096 Issued in MO

Practice address

1717 Biddle St
Saint Louis, MO 63106-3454

Phone

(314) 814-8516

Fax

(314) 814-8593

NPI assigned

Apr 2, 2024

Last updated

Apr 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: fatima.mohamed.p1@direct.affiniahealthcare.nextgenshare.com

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1699527721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DELCREST CT APT 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242169",
            "telephone_number": "470-819-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 BIDDLE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063454",
            "telephone_number": "314-814-8516",
            "fax_number": "314-814-8593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Francis Pl Ste 201",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "MO",
            "postal_code": "631052465",
            "country_code": "US",
            "telephone_number": "314-721-1661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "FATIMA",
        "middle_name": "IBRAHIM",
        "credential": "DENTAL HYGIENIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2005014096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mogene Clinical Diagnostics LC
• Jill Mogil, O.D.
• Lisa Beth Mogil, MD
• Taha Mohamed Djirdeh, MD
• Mohamed Elsafi, DDS LLC
• Mohamed Amin Mohamed
• Mohamed Mahgoub M a Mohamed, MD
• Nahla Mohamed Farid Mohamed
• Riham Elamin Elkhalifa Mohamed, M.B.B.S , M.SC.
• Shakir Mohamed, MD

• Dental Hygienist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dental Hygienist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.