Individual provider Active NPI

Saman Mostajabian, DDS

  • Dentist
  • Mobile, AL
National Provider Identifier
1346766979
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6454 Issued in AL
Practice address
3281 Bel Air Mall Ste G18A
Mobile, AL 36606-3207
Phone
(251) 301-6555
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6454 AL Primary

Addresses

Primary practice location

3281 Bel Air Mall Ste G18A
Mobile, AL 36606-3207

Mailing address

25878 Pollard Rd Apt 2124
Daphne, AL 36526-5153
Phone (949) 566-5042

Other names 1

  • Dr. Saman Mostajabian Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20171024001552 AL Order and Referring Only - DentistPractitioner - Dentist 3274809017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6454ALMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1346766979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25878 POLLARD RD APT 2124",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365265153",
            "telephone_number": "949-566-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 BEL AIR MALL STE G18A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063207",
            "telephone_number": "251-301-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTAJABIAN",
        "first_name": "SAMAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMAN",
            "last_name": "MOSTAJABIAN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.