Organization Active NPI

Momani DDS Inc

  • General Practice Dentistry
  • Patterson, CA
National Provider Identifier
1376454751
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOMANI DDS INC
Practice address
1108 Ward Ave Ste A1
Patterson, CA 95363-8529
Phone
(209) 893-4564
Fax
(209) 527-5685
NPI assigned
Sep 15, 2026
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Ahmad I MomaniNPI 1538490214
Title
Owner/Dentist
Phone
(831) 578-0280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1108 Ward Ave Ste A1
Patterson, CA 95363-8529

Mailing address

1207 13TH St Ste 2
Modesto, CA 95354-0934
Phone (209) 337-4777

National Provider Directory

National Provider Directory
Tax ID family
Momani DDS Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1376454751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 13TH ST STE 2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540934",
            "telephone_number": "209-337-4777",
            "fax_number": "209-831-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 WARD AVE STE A1",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953638529",
            "telephone_number": "209-893-4564",
            "fax_number": "209-527-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMANI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "MOMANI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "831-578-0280"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patterson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.