Shokofeh Motlagh, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8832 Issued in AZ

Practice address

2200 E Cedar Ave Ste 5
Flagstaff, AZ 86004-1958

Phone

(928) 637-6673

NPI assigned

Dec 18, 2008

Last updated

Jan 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1245476423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E CEDAR AVE STE 5",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041958",
            "telephone_number": "928-637-6673",
            "fax_number": "928-637-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E CEDAR AVE STE 5",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041958",
            "telephone_number": "928-637-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTLAGH",
        "first_name": "SHOKOFEH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2024-01-05",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "5711",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "8832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce A Mortensen, PA
• Michael Mortensen, DO
• Moseng Chiropractic, P.C.
• Nathan Alan Moss, AGACNP-BC
• John Michael Motl, M.D.
• Alan W Motter, FNP -C
• John Mougin, M.D.
• Mountain Healing
• Mountain Heart Cath Lab
• Mountain Heart Medical Practice PLLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.