Rami Mouded, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30021496 Issued in OH

Practice address

14865 Detroit Ave
Lakewood, OH 44107-3909

Phone

(216) 772-2310

NPI assigned

Mar 5, 2013

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Icare Dental LLC

  • Dental Clinic/Center
  • Lakewood, OH
  • NPI 1669242657
  Medicare reassignment NPD Authorized official
• Ohio Dental Care Foundation

  • Dental Clinic/Center
  • Westlake, OH
  • NPI 1588419303
  NPD Authorized official
• David a Friedman DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Livonia, MI
  • NPI 1942479654
  NPD (past)

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1104167824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31088 BELLERIVE CT",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451893",
            "telephone_number": "440-454-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14865 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073909",
            "telephone_number": "216-772-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUDED",
        "first_name": "RAMI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-05",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30021496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadya Mohammad Asif
• Shalini Mohindra, MD
• Bridget Ann Moran, OTR/L
• Natalie Moreno
• Ashley Morgan
• R Moyer, PSY. S., NCSP
• Ms. Lynn a .Darr
• Muhammad Muhammad, PHARM.D.
• Nicole Mullins, RN
• Satya Munzar, M.D.

• General Practice Dentistry in Lakewood, OH
• Providers in Lakewood, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.