Arta Moaddab, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15134 Issued in MD

Practice address

5905 Ipswich Rd
Bethesda, MD 20814-1809

Phone

(240) 643-7571

NPI assigned

Nov 28, 2012

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1083959365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CANDLELIGHT CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542753",
            "telephone_number": "240-643-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 IPSWICH RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141809",
            "telephone_number": "240-643-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOADDAB",
        "first_name": "ARTA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Anne Mitchell, CRNP, MSCN, AOCN
• Travis Walter Mitchell, PHARMD.
• Edward E Mitre, MD
• Michae Mizzell
• MKD Home Health, Inc.
• Mobile Medical Care Inc
• Cynthia Mock
• Kristen Moe, RD
• Lindsay Leigh Moen
• Amir Moghadam Ahmadi, MD

• General Practice Dentistry in Bethesda, MD
• Providers in Bethesda, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.