Organization Active NPI

Dennis P. Mohney

  • General Practice Dentistry
  • Miami Lakes, FL
National Provider Identifier
1922190669
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENNIS P. MOHNEY
Practice address
15175 Eagle Nest LN
Suite # 107
Miami Lakes, FL 33014-2244
Phone
(305) 558-3611
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Authorized official

Name
Dr. Dennis P Mohney, DDSNPI 1245572254
Title
Dentist
Phone
(305) 558-3611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15175 Eagle Nest LN
Suite # 107
Miami Lakes, FL 33014-2244

Mailing address

15175 Eagle Nest LN
Suite # 107
Miami Lakes, FL 33014-2244
Phone (305) 558-3611

Other identifiers 2

IdentifierTypeStateIssuer
510234OtherFLUNITED CONCORDIA
66257OtherFLBC/BS

National Provider Directory

National Provider Directory

Locations

15175 Eagle Nest Ln
Ste 107
Miami Lakes, FL 33014
Phone (305) 558-3611

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1922190669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15175 EAGLE NEST LN",
            "address_2": "SUITE # 107",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142244",
            "telephone_number": "305-558-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15175 EAGLE NEST LN",
            "address_2": "SUITE # 107",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142244",
            "telephone_number": "305-558-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS P. MOHNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "MOHNEY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-558-3611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "510234",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "66257",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.