Individual provider Active NPI

Moni M. Mosharaf, D.D.S.

  • Dentist
  • Aliso Viejo, CA
National Provider Identifier
1184831091
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45929 Issued in CA
Practice address
2 Journey Ste 207
Aliso Viejo, CA 92656-3373
Phone
(949) 702-2001
Fax
(949) 643-2226
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45929 CA Primary

Addresses

Primary practice location

2 Journey Ste 207
Aliso Viejo, CA 92656-3373

Mailing address

27068 La Paz Rd # 440
Aliso Viejo, CA 92656-3041
Phone (949) 702-2001

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dialani Dental Corporation Dentist CurrentSince Sep 6, 2020 Accepting new patients
Mosharaf DDS Inc Dentist CurrentSince Sep 6, 2020 Accepting new patients

Locations

2 Journey
Ste 207
Aliso Viejo, CA 92656
Phone (949) 702-2001

27068 La Paz Rd
Aliso Viejo, CA 92656
Phone (949) 212-8581

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1184831091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27068 LA PAZ RD # 440",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563041",
            "telephone_number": "949-702-2001",
            "fax_number": "714-971-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JOURNEY STE 207",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563373",
            "telephone_number": "949-702-2001",
            "fax_number": "949-643-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHARAF",
        "first_name": "MONI",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.