DR. LISA MOHAN (NPI# 1164743779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164743779 |
| Entity Type | Individual |
| Full Name | DR. LISA MOHAN |
| Credential | DDS,MPH |
| Practice Address |
2040 Belwood Dr Okemos MI 48864-5951 |
| Practice Telephone | 6127356347 |
| Mailing Telephone | 6127356347 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2012-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901020353 | MI | Dental Providers |
| Street Address |
2040 BELWOOD DR |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-5951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780121319 | Okemos Family Dentistry, P.C. | Dentist | 2277 Science Pkwy Ste 3, Okemos, MI 48864-2551 | 2017-01-20 |
| 1093171233 | Matthew Bloomberg | Dentist | 4111 Okemos Rd Ste 201, Okemos, MI 48864-3235 | 2016-01-04 |
| 1487055760 | Brian James Zirkle | Dentist | 2228 W Grand River Ave, Okemos, MI 48864-1604 | 2014-09-05 |
| 1760652903 | Alan Ray Laing | Dentist | 1444 Treetop Dr, Okemos, MI 48864-2348 | 2008-03-04 |
| 1619146412 | Bruce Robert Ferguson | Dentist | 4874 Montrose, Okemos, MI 48864-1618 | 2008-02-26 |
| 1932319563 | Justin Ryan Cook | Dentist | 2277 Science Prkwy, Okemos, MI 48864-2551 | 2007-05-23 |
| 1932321023 | Jesse Francis Grimm | Dentist | 1735 Hamilton, #450, Okemos, MI 48864 | 2007-05-02 |
| 1073671301 | Powell & Yun Dds Pllc | Dentist | 4111 Okemos Road, Suite 202, Okemos, MI 48864 | 2006-12-06 |
| 1831266865 | Stephen Adrian Phillips | Dentist | 4750 Okemos Rd, Okemos, MI 48864-1637 | 2006-11-28 |
| 1639270861 | Robert Herrera Dds PC | Dentist | 3841 Okemos Road, Okemos, MI 48864 | 2006-09-26 |
| Find all providers in OKEMOS | ||||
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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.