Active NPI
Moeen Al Weshah
- Endodontics
- Cleveland, OH
National Provider Identifier
1023677259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 37995
- Practice address
- 9601 Chester Ave # 239J3
Cleveland, OH 44106 - Phone
- (216) 368-1374
- NPI assigned
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endodontics | 1223E0200X | 37995 | TX | Primary |
Addresses
Primary practice location
9601 Chester Ave # 239J3
Cleveland, OH 44106
Mailing address
5902 Manning Hollow LN
Sugar Land, TX 77479-4904
Phone (832) 288-1077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37995 | TX | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1023677259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5902 MANNING HOLLOW LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794904",
"telephone_number": "832-288-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 CHESTER AVE # 239J3",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44106",
"telephone_number": "216-368-1374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL WESHAH",
"first_name": "MOEEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-11",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "37995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.