Navid Nesab, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11077 Issued in NC

Practice address

7228 Moncure Pittsboro Rd
Moncure, NC 27559-9595

Phone

(919) 542-4991

NPI assigned

Jun 12, 2018

Last updated

Jun 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mohammadreza Nassabzadeh Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Granville-Vance District Health Department

  dba Clinical Services

  • Community Health Clinic/Center
  • Oxford, NC
  • NPI 1184783409
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1255824520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 JONES FERRY RD APT B10",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102034",
            "telephone_number": "919-360-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7228 MONCURE PITTSBORO RD",
            "city": "MONCURE",
            "state": "NC",
            "postal_code": "275599595",
            "telephone_number": "919-542-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESAB",
        "first_name": "NAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMADREZA",
            "last_name": "NASSABZADEH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Ann Kooistra, FNP
• Lyb Co LLC (MC2 Professional Care Services)
• William Martin, MD
• John Messenheimer, MD
• Yareli Gabriela Morehouse, PA-C
• Nathalie Elizabeth Ortiz Pate, PA-C
• Kyle Gilmore Pelligra, PA-C
• Christopher M Pennisi, DDS
• Piedmont Health Services, Inc. (Moncure CHC Pharmacy)
• Piedmont Health Services, Inc. (Moncure CHC Dental)

• General Practice Dentistry in Moncure, NC
• Providers in Moncure, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.