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EVERARDO MORA
NPI 1619449774
Dentist - General Practice in Tijuana, BAJA CALIFORNIA

Active since December 28, 2018
ONCE Y OCAMPO #2011 STE 14, TIJUANA, BAJA CALIFORNIA 22000(619) 488-3200(866) 272-6824 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Everardo Mora NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERARDO MORA (NPI 1619449774) is a healthcare organization registered as a general practice in Tijuana, BAJA CALIFORNIA and active in the NPI registry since December 2018. The organization lists Everardo Mora, Dentist, as its authorized official.

NPPES Registry Identity

NPI1619449774
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEVERARDO MORA
Location AddressONCE Y OCAMPO #2011 STE 14Tijuana, BAJA CALIFORNIA 22000
Mailing Address4275 Executive Sq Ste 200La Jolla, CA 92037-1476
Phone(619) 488-3200
Fax(866) 272-6824
Organization SubpartNo
Authorized OfficialEverardo MoraDentist · (619) 488-3200
Enumeration DateDecember 28, 2018
✔ NPI 1619449774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.

Other Names 1

Former Legal Business NameEverardo Mora

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Everardo Mora's NPI number?

The NPI number for Everardo Mora is 1619449774. It was assigned to this organization in the NPPES registry on December 28, 2018.

Where is Everardo Mora located?

Everardo Mora is located at Once Y Ocampo #2011 Ste 14, Tijuana, BAJA CALIFORNIA 22000. The listed phone number is (619) 488-3200.

What is Everardo Mora's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Everardo Mora was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.