Individual provider Active NPI

Mozhgan Molkara, D.D.S.

  • General Practice Dentistry
  • Lake Forest, CA
National Provider Identifier
1720239197
Registry record updated Mar 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57555 Issued in CA
Practice address
21991 El Toro Rd Ste 6
Lake Forest, CA 92630-6518
Phone
(949) 380-7788
NPI assigned
Oct 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 57555 CA Primary

Addresses

Primary practice location

21991 El Toro Rd Ste 6
Lake Forest, CA 92630-6518

Mailing address

21991 El Toro Rd Ste 6
Lake Forest, CA 92630-6518
Phone (949) 380-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
57555CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Debora M. Bitton, Professional Corporation General Practice Past Accepting new patients
Mozhgan Molkara DDS,Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457222400000",
    "number": "1720239197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21991 EL TORO RD STE 6",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306518",
            "telephone_number": "949-380-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21991 EL TORO RD STE 6",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306518",
            "telephone_number": "949-380-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLKARA",
        "first_name": "MOZHGAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2016-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2016; 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.