Dr. Moghadasi & Associates, PA

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

DN13330 Issued in FL

Legal business name

DR. MOGHADASI & ASSOCIATES, PA

Practice address

5608 US Highway 98 N
Lakeland, FL 33809-3105

Phone

(863) 858-7600

Fax

(863) 859-0408

NPI assigned

Aug 28, 2012

Organization subpart

No

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

Authorized official

Name

Farid Moghadasi, DMDNPI 1811000698

Title

Owner

Phone

(863) 858-7600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Farid Moghadasi, DMD

  • Dentist
  • Lakeland, FL
  • NPI 1811000698
  NPD (past) Authorized official

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1013265719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 US HIGHWAY 98 N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093105",
            "telephone_number": "863-858-7600",
            "fax_number": "863-859-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 US HIGHWAY 98 N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093105",
            "telephone_number": "863-858-7600",
            "fax_number": "863-859-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MOGHADASI & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "MOGHADASI",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-858-7600",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "DN13330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.