Individual provider Active NPI

Katayoun Mottaghi, DMD

  • General Practice Dentistry
  • Westlake, OH
National Provider Identifier
1215451604
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025532 Issued in OH
Practice address
24803 Detroit Rd
Westlake, OH 44145
Phone
(440) 835-5388
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.025532 OH Primary

Addresses

Primary practice location

24803 Detroit Rd
Westlake, OH 44145

Mailing address

26900 George Zeiger Dr Apt 430
Beachwood, OH 44122-7613
Phone (216) 394-3248

Other practice location 1

75 Arch St Ste 303
Akron, OH 44304-1432
Phone (330) 375-6262

Other practice location 2

14780 Pearl Rd Ste 200
Strongsville, OH 44136-5001
Phone (440) 268-0768

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
30.025532OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hossam Asaad DMD LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1215451604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26900 GEORGE ZEIGER DR APT 430",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227613",
            "telephone_number": "216-394-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24803 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "44145",
            "telephone_number": "440-835-5388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Arch St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041432",
            "country_code": "US",
            "telephone_number": "330-375-6262",
            "fax_number": "330-375-3274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14780 Pearl Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Strongsville",
            "state": "OH",
            "postal_code": "441365001",
            "country_code": "US",
            "telephone_number": "440-268-0768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTTAGHI",
        "first_name": "KATAYOUN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.