Delmar Mobley, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

16012 Issued in CA

Practice address

555 W Benjamin Holt Dr
Suite 100
Stockton, CA 95207-3839

Phone

(209) 473-7888

Fax

(209) 472-2357

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Brothers Dental and Implants Inc

  • Dental Clinic/Center
  • San Francisco, CA
  • NPI 1659874725
  NPD (past)
• Institute of Esthetic Dentistry, Inc.

  • Dental Clinic/Center
  • El Dorado Hills, CA
  • NPI 1801093208
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1851320170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 WINDPLAY DR",
            "address_2": "SUITE 300",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629688",
            "telephone_number": "916-941-2333",
            "fax_number": "916-941-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W BENJAMIN HOLT DR",
            "address_2": "SUITE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952073839",
            "telephone_number": "209-473-7888",
            "fax_number": "209-472-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "DELMAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "16012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MN Associate LLC
• Joeray Thavone Moan
• Parham Mobasseri, MD
• Mobile Healthcare Management LLC
• Bykema Mobley
• Mary Kathryn Mockler, D.P.T
• Cynthia A Mocko, PSYCHIATRIC TECH
• James Michael Mocko
• Savannah Mocko
• Modern Neurocare Medical Center

• Orthodontics and Dentofacial Orthopedics Dentistry in Stockton, CA
• Providers in Stockton, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.