Jennifer Lynne Mokris, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DGD.7056 GD Issued in SC

Practice address

1721 Ebenezer Rd
Suite 135
Rock Hill, SC 29732-4103

Phone

(803) 324-7670

Fax

(803) 324-5748

NPI assigned

Jul 27, 2011

Last updated

Aug 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lynne Vanpuymbrouck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2016 through Oct 1, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• William D. Cranford, Jr., DMD

  • General Practice Dentistry
  • Rock Hill, SC
  • NPI 1811263874
  NPD (past)
• Amelia Dental Group, PLLC

  • Dentist
  • Fernandina Beach, FL
  • NPI 1649350349
  NPD (past)

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1831477728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 EBENEZER RD",
            "address_2": "SUITE 135",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324103",
            "telephone_number": "803-324-7670",
            "fax_number": "803-324-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 EBENEZER RD",
            "address_2": "SUITE 135",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324103",
            "telephone_number": "803-324-7670",
            "fax_number": "803-324-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKRIS",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.7056 GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VANPUYMBROUCK",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Ann Mobley-Meulman, ED.D.
• Tekira Y Mobley
• Winona P. Mocherman, CRNA
• Heidar A. Modaresi, PHD
• Mojo Therapeutics LLC
• Molly Coggins (Counseling for Growth Services)
• Monica Revels Counseling LLC
• Kacie Bragg Montgomery, OTR
• Kimberly Hagwood Mood, OTR/L
• Carmen Moody

• General Practice Dentistry in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.