Momani DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59081 Issued in CA

Legal business name

MOMANI DDS INC

Practice address

3309 Sierra St
Riverbank, CA 95367-2440

Phone

(209) 872-3399

NPI assigned

Feb 25, 2015

Organization subpart

No

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

Authorized official

Name

Ahmad Momani

Title

Ceo

Phone

(209) 527-3990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1215329487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 13TH ST STE 2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540934",
            "telephone_number": "209-527-3990",
            "fax_number": "209-524-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 SIERRA ST",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953672440",
            "telephone_number": "209-872-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 Main St",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "CA",
            "postal_code": "953341308",
            "country_code": "US",
            "telephone_number": "209-535-9933",
            "fax_number": "209-394-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOMANI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "MOMANI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-527-3990"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Marjean Molina, BCBA
• Yolanda Molina
• Isabel Molintas
• Rizwana Sahabuddin Mollah, M.D.
• Shahista Sahabuddin Mollah, MD
• Ahmad Momani, DDS
• Jacqueline Monares
• Emily Monarrez
• Kulwant S. Monder, MD
• Tamara Alison Mondragon Cornejo

• Dental Clinic/Center in Modesto, CA
• Providers in Modesto, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.