Individual provider Active NPI

Adam A Moneim, D.D.S

  • General Practice Dentistry
  • Los Gatos, CA
National Provider Identifier
1245355593
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45593 Issued in CA
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

Updated by the provider on Jul 8, 2007

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 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 Former name

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
45593CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Moneim Dental Corp. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.