Organization Active NPI

Nader Moavenian, DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Pembroke, NH
National Provider Identifier
1093353526
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
NADER MOAVENIAN, DDS PA
Practice address
5 Sheep Davis Rd
Pembroke, NH 03275-3702
Phone
(603) 224-7831
Fax
(603) 224-8549
NPI assigned
Dec 16, 2019
Last updated
Dec 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Jo Goy
Title
Billing Coordinator
Phone
(603) 595-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary

Addresses

Primary practice location

5 Sheep Davis Rd
Pembroke, NH 03275-3702

Mailing address

33 Trafalgar SQ Ste 201
Nashua, NH 03063-4901
Phone (603) 595-8889

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drkuepper@comcast.net

National Provider Directory

National Provider Directory

Locations

5 Sheep Davis Rd
Pembroke, NH 03275
Phone (603) 224-7831

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1093353526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 TRAFALGAR SQ STE 201",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634901",
            "telephone_number": "603-595-8889",
            "fax_number": "603-595-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SHEEP DAVIS RD",
            "city": "PEMBROKE",
            "state": "NH",
            "postal_code": "032753702",
            "telephone_number": "603-224-7831",
            "fax_number": "603-224-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADER MOAVENIAN, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "GOY",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "603-595-8889"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drkuepper@comcast.net",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "address_1": "5 Sheep Davis Rd",
            "city": "Pembroke",
            "state": "NH",
            "country_code": "US",
            "postal_code": "032753702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.