Shahriar Moinamini, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

05205401DENTIST Issued in NY

Practice address

120 Elgar PL Unit B
Bronx, NY 10475-5103

Phone

(718) 708-7171

Fax

(718) 708-7172

NPI assigned

Apr 26, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Elgar Family Dental P.C.

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1932488749
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1275753097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150-15 79 AVE",
            "address_2": "# 4D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "516-640-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ELGAR PL UNIT B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755103",
            "telephone_number": "718-708-7171",
            "fax_number": "718-708-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOINAMINI",
        "first_name": "SHAHRIAR",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "05205401DENTIST",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Mohrbacher, MD
• Laurel Mohrmann, MD
• Alireza Mohseni, MD
• Hossain Mohseni, D.P.M.
• Ava Mohseny
• Valentina Moirangthem, M.D.
• Kechner Moise
• Moises Physical Therapy Corp
• Abygaile Mae Moises, P.T.
• Abdul Moiz, MD

• Dentist in Bronx, NY
• Providers in Bronx, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.