Organization Active NPI

Moji Bagheri DMD a Professional Corporation

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1346008463
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MOJI BAGHERI DMD A PROFESSIONAL CORPORATION
Practice address
615 Bay Ridge Pkwy
Brooklyn, NY 11209-3329
Phone
(877) 237-3636
NPI assigned
Mar 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Moji Bagheri
Title
Owner
Phone
(877) 237-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

615 Bay Ridge Pkwy
Brooklyn, NY 11209-3329

Mailing address

615 Bay Ridge Pkwy
Brooklyn, NY 11209-3329

National Provider Directory

National Provider Directory

Locations

615 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 745-4200

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1346008463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093329",
            "telephone_number": "877-237-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOJI BAGHERI DMD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "BAGHERI",
        "authorized_official_first_name": "MOJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-237-3636"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.