Cassandra Rose Mora, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019032565 Issued in IL

Practice address

1220 E US Highway 45 Ste 200
Vernon Hills, IL 60061-4187

Phone

(847) 821-7222

NPI assigned

Mar 30, 2020

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

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.

• Hawthorn Dental Associates

  • General Practice Dentistry
  • Vernon Hills, IL
  • NPI 1164537080
  NPD (past)

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1982232401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 CREEK BEND DR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613301",
            "telephone_number": "847-946-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E US HIGHWAY 45 STE 200",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600614187",
            "telephone_number": "847-821-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 S Arlington Heights Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600053108",
            "country_code": "US",
            "telephone_number": "847-463-9641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "CASSANDRA",
        "middle_name": "ROSE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Patrick Molloy, D.C.
• Ryan Patrick Molloy, D.C.
• Moon'S Regional Medical Center, S.C.
• Justice Moore
• Megan Maureen Moore, FNP
• Cheryl Lee Mora, D.D.S.
• Michael David Mora, D.D.S.
• Keyla Moreno
• Debra Ann Morris, LCSW
• Lauren Ashley Morrison, LPC

• Dentist in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.