Raha Mozaffari, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS039451 Issued in PA

Practice address

244 E Girard Ave
Philadelphia, PA 19125-3929

Phone

(215) 739-2543

Fax

(215) 739-7239

NPI assigned

Jun 14, 2012

Last updated

Mar 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Raha Mozaffari DMD LLC

  dba Fishtown Dentistry

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1649865163
  NPD Authorized official
• Kiran Satashia DMD, PC

  dba Dentistry by Design

  • Dental Clinic/Center
  • Warminster, PA
  • NPI 1639761299
  NPD

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1023370087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E FLORA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253315",
            "telephone_number": "215-740-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 E GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253929",
            "telephone_number": "215-739-2543",
            "fax_number": "215-739-7239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-7104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1590 W Street Rd",
            "address_purpose": "LOCATION",
            "city": "Warminster",
            "state": "PA",
            "postal_code": "189743130",
            "country_code": "US",
            "telephone_number": "215-957-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOZAFFARI",
        "first_name": "RAHA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Moyer, DPT
• Moylan Chiropractic Center
• Daniel Drew Moylan, MD
• James Edward Moylan, D.C.
• Mohammad Ali Mozaffari, MD
• Mana Mozaffarian, D.M.D.
• Jennefer Lin Mozeleski
• Mark J Mozulay, M.D.
• Mpath Assistive Care LLC.
• Mpath Living LLC

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.