David M Momtaheni, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

38085 Issued in NY

Practice address

630 5TH Ave
1868
New York, NY 10111-0100

Phone

(212) 969-9133

Fax

(212) 969-9108

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1326105594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 5TH AVE.",
            "address_2": "1868",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101111862",
            "telephone_number": "212-969-9133",
            "fax_number": "212-969-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 5TH AVE",
            "address_2": "1868",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101110100",
            "telephone_number": "212-969-9133",
            "fax_number": "212-969-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMTAHENI",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "38085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoko Momo
• Elizabeth Kona Momoh
• Marie R Momplaisir, PA
• Stacie Mompremier, LMSW
• Moms Pharmacy of Nyc, Inc.
• Mohammad Reza Momtaz, M.D.
• Myat Myat Mon, M.D.
• Rhonda Abina Mona, MPH, RD
• Kylie Morgan Monacelli, PA-C
• Monaco Psychological Services

• Oral and Maxillofacial Surgery (Dentist) in New York, NY
• Providers in New York, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.