Active NPI
Mokbil and Vicuna Dental Corporation
- General Practice Dentistry
- Folsom, CA
National Provider Identifier
1720830235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MOKBIL AND VICUNA DENTAL CORPORATION
- Practice address
- 1016 Riley St Ste 1
Folsom, CA 95630-3265 - Phone
- (916) 333-7814
- NPI assigned
- Apr 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmad Mokbil
- Title
- Owner
- Phone
- (714) 845-8500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1016 Riley St Ste 1
Folsom, CA 95630-3265
Mailing address
PO Box 920050
Dallas, TX 75392-0050
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Folsom, CA
- NPI 1538081351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712275200000",
"number": "1720830235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 920050",
"city": "DALLAS",
"state": "TX",
"postal_code": "753920050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 RILEY ST STE 1",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303265",
"telephone_number": "916-333-7814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOKBIL AND VICUNA DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-05",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A",
"authorized_official_last_name": "MOKBIL",
"authorized_official_first_name": "AHMAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-845-8500"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.