Organization Active NPI

Morvarid Moini DMD LLC

  • Pediatric Dentistry
  • Melbourne, FL
National Provider Identifier
1265124390
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MORVARID MOINI DMD LLC
Practice address
1035 N Apollo Blvd.
Melbourne, FL 32935
Phone
(321) 499-2660
Fax
(321) 499-2655
NPI assigned
May 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Morvarid Moini, DMD, MPH
Title
Owner
Phone
(321) 499-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1035 N Apollo Blvd.
Melbourne, FL 32935

Mailing address

1035 N Apollo Blvd.
Melbourne, FL 32935
Phone (321) 499-2660

Other names 1

  • Pearl Pediatric Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1265124390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N APOLLO BLVD.",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-499-2660",
            "fax_number": "321-499-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N APOLLO BLVD.",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-499-2660",
            "fax_number": "321-499-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORVARID MOINI DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "MOINI",
        "authorized_official_first_name": "MORVARID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-499-2660",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Pediatric Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.