Individual provider Active NPI

Zeeshan Moorani, D.D.S.

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1154676575
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
28018 Issued in TX
Practice address
9107 Marbach Rd Ste 300
San Antonio, TX 78245-1832
Phone
(210) 405-5437
NPI assigned
Jul 23, 2012
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28018 TX
Pediatric Dentistry 1223P0221X 28018 TX Primary

Addresses

Primary practice location

9107 Marbach Rd Ste 300
San Antonio, TX 78245-1832

Mailing address

9107 Marbach Rd Ste 300
San Antonio, TX 78245-1832
Phone (210) 405-5437

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
28018TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Teeth, PLLC Pediatric Dentistry CurrentSince Mar 22, 2020 Accepting new patients

Locations

9107 Marbach Rd
Ste 300
San Antonio, TX 78245
Phone (210) 405-5437

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1154676575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 MARBACH RD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451832",
            "telephone_number": "210-405-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9107 MARBACH RD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451832",
            "telephone_number": "210-405-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORANI",
        "first_name": "ZEESHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28018",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "28018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.