Active NPI
Adam A Moneim, D.D.S
- General Practice Dentistry
- Los Gatos, CA
National Provider Identifier
1245355593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45593
- Practice address
- 220 Oak Meadow Dr
Los Gatos, CA 95032-4407 - Phone
- (408) 354-7333
- Fax
- (408) 354-7433
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45593 | CA | Primary |
Addresses
Primary practice location
220 Oak Meadow Dr
Los Gatos, CA 95032-4407
Mailing address
281 Penn Way
Los Gatos, CA 95032-2617
Phone (415) 786-1289
Other names 1
- Dr. Ahmed Abdel Moneim
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
| License | State | Type | Specialty |
|---|---|---|---|
| 45593 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moneim Dental Corp. | Past | Accepting new patients |
Interoperability endpoints
- amoneim249850@direct-ucsfmedicalcenter.org
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": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245355593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 PENN WAY",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322617",
"telephone_number": "415-786-1289",
"fax_number": "408-354-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 OAK MEADOW DR",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950324407",
"telephone_number": "408-354-7333",
"fax_number": "408-354-7433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONEIM",
"first_name": "ADAM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AHMED",
"last_name": "MONEIM",
"middle_name": "ABDEL",
"prefix": "DR.",
"credential": "D.D.S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.