Mira Dental Care PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411296 Issued in VA

Legal business name

MIRA DENTAL CARE PLLC

Practice address

1800 N Kent St
Suite 100
Arlington, VA 22209

Phone

(703) 807-0808

Fax

(703) 807-8652

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tarek Mohammad Mogharbel, DDSNPI 1689744104

Title

Owner

Phone

(703) 807-0808

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tarek Mohammad Mogharbel, DDS

  • Dentist
  • Washington, DC
  • NPI 1689744104
  NPD Authorized official
• Abdallahi Sidi El Moctar, D.D.S.

  • General Practice Dentistry
  • Falls Church, VA
  • NPI 1295020501
  NPD (past)
• Margarita Jaber Elias, DDS

  • Dentist
  • Washington, DC
  • NPI 1760799845
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750479697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N KENT ST",
            "address_2": "SUITE 100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22209",
            "telephone_number": "703-807-0808",
            "fax_number": "703-807-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N KENT ST",
            "address_2": "SUITE 100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22209",
            "telephone_number": "703-807-0808",
            "fax_number": "703-807-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOGHARBEL",
        "authorized_official_first_name": "TAREK",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-807-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindview Behavioral Health and Wellness
• Teri E Minehart, NNP
• Minimally Invasive Spine Institute, PLLC
• Minimally Invasive Spine, LLC
• Anne L. Minor, L.C.S.W.
• Maria Mirabela
• Laura Miner Miskimins, M.S.W.
• Albert Mitchell III
• Ashley Shanta Mitchell, LCSW
• Tiffany Monique Mitchell

• General Practice Dentistry in Arlington, VA
• Providers in Arlington, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.