DR. JUAN CARLOS MORA (NPI# 1144415597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144415597 |
| Entity Type | Individual |
| Full Name | DR. JUAN CARLOS MORA |
| Credential | D.M.D |
| Practice Address |
22 Mystic Ln Suite A Malvern PA 19355-1942 |
| Practice Telephone | 6102407730 |
| Practice Fax Number | 6102407733 |
| Mailing Telephone | 6102407730 |
| Mailing Fax Number | 6102407733 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS037123 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306478474 | Juan Pablo Mora | Student in an Organized Health Care Education/Training Program | 151 Westchester Hall, Stony Brook, NY 11794-0001 | 2020-02-06 |
| 1457852329 | Juan Robert Mora | Community Health Worker | 21730 S Vermont Ave Ste 122, Torrance, CA 90502 | 2018-02-26 |
| 1871749226 | Juan Mora | Counselor | 114 E Shaw Ave Ste 210, Fresno, CA 93710-7621 | 2008-08-15 |
| 1396959862 | Juan Mora | Counselor | 9462 Van Nuys Blvd, Panorama City, CA 91402-1310 | 2007-05-10 |
| Street Address |
22 MYSTIC LN SUITE A |
| City | MALVERN |
| State | PA |
| Zip Code | 19355-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218044 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 30 Liberty Boulevard, Suite 140, Malvern, PA 19355 | 2019-08-01 |
| 1871011122 | Mary Margaret Bischoff | Psychologist | 922 St. Andrews Dr., Malvern, PA 19355 | 2017-09-07 |
| 1114449527 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | 650 Carnegie Boulevard, 2nd Floor, Malvern, PA 19355 | 2017-07-07 |
| 1285169243 | Smile Exchange of Malvern, LLC | Clinic/Center | 5 S. Morehall Rd, Suite 700b, Malvern, PA 19355 | 2017-04-27 |
| 1669849162 | Sahar Akhtar | Counselor | 288 Lancaster Ave Ste 1, Frazer, PA 19355 | 2015-08-31 |
| 1386020030 | Laura Ann Treston | Physical Therapy Assistant | 60 Malvern Ave., Malvern, PA 19355 | 2015-08-05 |
| 1003217191 | Hillary Schmid | Behavioral Analyst | 28 Clover Lane, Malvern, PA 19355 | 2014-09-09 |
| 1033528799 | James Greco | Pharmacist | 50 Three Tun Rd Ste 2, Malvern, PA 19355 | 2014-08-07 |
| 1952712085 | Rachael Joseph | Community/Behavioral Health | 45 Kelmar Avenue, Malvern, PA 19355 | 2014-05-12 |
| 1487081808 | Ronia Arabatlian | Social Worker | 1 North Bacton Rd, 107, Malvern, PA 19355 | 2013-09-30 |
| Find all providers in zip 19355 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073954574 | Efird & Teale Dentistry | Dentist | 927 South Main, Malvern, AR 72104-4507 | 2013-07-12 |
| 1750570107 | Victor F. Wallace | Dentist | 31 Pueblo Trl, Malvern, OH 44644-9528 | 2007-10-22 |
| 1710078803 | Lisa Lynn Loftis | Dentist | 306 S Ash St, Malvern, AR 72104-3918 | 2006-09-27 |
| 1093729998 | Jeffry B Herrick | Dentist | 458 E King Rd, Malvern, PA 19355-3049 | 2006-07-28 |
| 1336168772 | Edward Oliver | Dentist | 372 Coral Rd, Malvern, AR 72104-7108 | 2006-07-18 |
| 1104873439 | Ronald Kenneth Heier | Dentist | 100 Deerfield Ln, Suite 290, Malvern, PA 19355-2100 | 2006-05-30 |
| 1922457332 | Michael Lindsey Kinard | Dentist | 927 S Main St, Malvern, AR 72104-5220 | 2016-06-07 |
| 1093145252 | Teale Dentistry, Pa | Dentist | 927 S Main St, Malvern, AR 72104-5220 | 2013-11-25 |
| 1245577329 | Chad D Matone Dds Pa | Dentist | 230 Pine Bluff St, Malvern, AR 72104-4228 | 2013-01-10 |
| 1467785451 | Williams Family Dentistry | Dentist | 372 Coral Rd, Malvern, AR 72104-7108 | 2009-09-09 |
| Find all providers in MALVERN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.