Hasim Momin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015041 Issued in GA

Practice address

3204 Mill St NE
Covington, GA 30014-2538

Phone

(770) 786-8111

NPI assigned

Jul 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• HM Family Dental LLC

  • Dental Clinic/Center
  • Covington, GA
  • NPI 1285370767
  NPD Authorized official
• Dr. Bill Gramzinski, D.M.D., P.C.

  • Dentist
  • Covington, GA
  • NPI 1134570591
  NPD (past)

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1013391119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 MILL ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142538",
            "telephone_number": "770-786-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 MILL ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142538",
            "telephone_number": "770-786-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMIN",
        "first_name": "HASIM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.8645 GD",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Management Counseling LLC
• Megan Mitchell
• Trionna Danielle Mitchell, CNA , SRNA
• Amber Mobley, CCC-SLP
• Modern Cosmetic Dental Care, LLC
• Nuzat-Zehra Momin
• Timothy Montana, CSFA
• Julie Monteiro-Pai, CRNP
• Angela K Moore, LPC
• Cynthia Marie Moore, LPN

• General Practice Dentistry in Covington, GA
• Providers in Covington, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.