Shalomi Momin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901022313 Issued in MI

Practice address

5350 Harvey St Ste D
Muskegon, MI 49444-6725

Phone

(231) 638-5541

NPI assigned

Jun 12, 2017

Sex

Female

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

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1225567340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 OLDE IVY LN",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945776",
            "telephone_number": "770-761-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 HARVEY ST STE D",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494446725",
            "telephone_number": "231-638-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMIN",
        "first_name": "SHALOMI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Moccardine
• Randi Michelle Mock
• Julie Mohan, CNM
• Anna Mohr, CRNA
• Moka Corporation
• Phillip Glenn Monroy, DDS MS
• Brandon Montgomery, DPT
• Kayla B Moore, MSW
• Rena Ann Moore, OTRL
• Sandra J Moore, D.C.

• General Practice Dentistry in Muskegon, MI
• Providers in Muskegon, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.