Imahn Moin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60473156 Issued in WA

Practice address

4547 8TH Ave NE
Apt 311
Seattle, WA 98105-6702

Phone

(603) 391-6259

NPI assigned

Jun 27, 2014

Last updated

Jul 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Locations

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.

• Imahn Moin, DDS, PLLC

  dba Wallingford Dental Care

  • Dental Clinic/Center
  • Seattle, WA
  • NPI 1326519174
  NPD Authorized official

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1215342233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 WALLINGFORD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038247",
            "telephone_number": "603-391-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4547 8TH AVE NE",
            "address_2": "APT 311",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056702",
            "telephone_number": "603-391-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIN",
        "first_name": "IMAHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60473156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoshauna Mohlman, LISWAIC
• Sheila Marie Mohn, MA, LMHC
• Allison Mohr
• Lisa A Mohr, MD
• Nicole Mohrbacher, CGC
• Emerald Mojica, D.C.
• Ruben Flores Mojica, CRNA
• Tanisha Marie Mojica, ARNP
• Kirsten Eve Mojziszek
• Sin U Mok

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.