Momin Abdul Shakoor, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106936 Issued in CA

Practice address

38800 Hastings St Apt 61
Fremont, CA 94536-6184

Phone

(734) 474-8728

NPI assigned

Sep 13, 2021

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

Practice roles

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.

• Momin Shakoor DDS PLLC

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1952158834
  NPD Authorized official

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1104595131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38800 HASTINGS ST APT 61",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945366184",
            "telephone_number": "734-474-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38800 HASTINGS ST APT 61",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945366184",
            "telephone_number": "734-474-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKOOR",
        "first_name": "MOMIN",
        "middle_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Samuel Shahbazian, DDS
• Nishi Shahi, RPH
• Arifa Shaikh
• Shaily Aggarwal Dental Inc
• Abby Shakiba
• Rachel Shalit
• Kathleen F. Shangraw, MD
• Debra Joan Shanley
• Frishta Sharifi
• Antonia Sharkey

• General Practice Dentistry in Fremont, CA
• Providers in Fremont, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.