Amir Mossadegh, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

S4-131 Issued in NV

Practice address

12274 La Prada PL
Las Vegas, NV 89138-6053

Phone

(949) 701-3484

NPI assigned

May 6, 2016

Last updated

Nov 22, 2022By the provider in NPPES

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1255787479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12274 LA PRADA PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386053",
            "telephone_number": "949-701-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12274 LA PRADA PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386053",
            "telephone_number": "949-701-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSADEGH",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-06",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100189",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "S4-131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rae Ann Moss
• Sara Joanne Moss
• Shawana Moss
• Starlita Moss, PA-C
• Steven T Moss, MD
• Most Dental LLC
• Mehrdad Mostafaeipour, D.D.S.
• Mirko Omid Mostaghimi, DO
• Jacquelyn Mota Gutierrez
• Jeannettsy Mota Gutierrez

• Periodontics in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Periodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.