Active NPI
Matthew Nabi Moadel, DDS MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Glendale, CA
National Provider Identifier
1083922827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 57793
- Practice address
- 230 N Maryland Ave
#206
Glendale, CA 91206-4261 - Phone
- (818) 547-2804
- NPI assigned
- Sep 15, 2010
- Last updated
- Mar 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 57793 | CA | Primary |
Addresses
Primary practice location
230 N Maryland Ave
#206
Glendale, CA 91206-4261
Mailing address
3727 Royal Woods Dr
Sherman Oaks, CA 91403-4217
Phone (310) 780-9959
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| V a Halajian Dental Corporation | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Dental Specialty Group of Glendale
- Endodontics
- Glendale, CA
- NPI 1104254374
Orthodontics and Dentofacial Orthopedics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1083922827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3727 ROYAL WOODS DR",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914034217",
"telephone_number": "310-780-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N MARYLAND AVE",
"address_2": "#206",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064261",
"telephone_number": "818-547-2804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOADEL",
"first_name": "MATTHEW",
"middle_name": "NABI",
"name_prefix": "Dr.",
"credential": "DDS MSD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-15",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "57793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.