Individual provider Active NPI

Mahkameh Moini, DMD

  • Dentist
  • Margate, FL
National Provider Identifier
1093984304
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN17979 Issued in FL
Practice address
5522 W Sample Rd
Margate, FL 33073-3468
Phone
(954) 968-4466
NPI assigned
Feb 21, 2008
Last updated
Feb 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN17979 FL Primary

Addresses

Primary practice location

5522 W Sample Rd
Margate, FL 33073-3468

Mailing address

5522 W Sample Rd
Margate, FL 33073-3468
Phone (954) 968-4466

Other names 1

  • Mahkameh Moini Mabry Other name

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

LicenseStateTypeSpecialty
DN17979FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1093984304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 W SAMPLE RD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330733468",
            "telephone_number": "954-968-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 W SAMPLE RD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330733468",
            "telephone_number": "954-968-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOINI",
        "first_name": "MAHKAMEH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHKAMEH",
            "last_name": "MABRY",
            "middle_name": "MOINI",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.