Individual provider Active NPI

Moeiz Koshki, DDS

  • Dentist
  • Santa Monica, CA
National Provider Identifier
1376504076
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44505 Issued in CA
Practice address
1227 Lincoln Blvd Ste 201
Santa Monica, CA 90401-1710
Phone
(310) 395-1261
Fax
(310) 395-6645
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44505 CA Primary

Addresses

Primary practice location

1227 Lincoln Blvd Ste 201
Santa Monica, CA 90401-1710

Mailing address

1227 Lincoln Blvd Ste 201
Santa Monica, CA 90401-1710
Phone (310) 395-1261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moeiz Koshki DDS Inc Dentist Current Accepting new patients

Locations

1260 15th St
Ste 805
Santa Monica, CA 90404
Phone (310) 393-1785

1227 Lincoln Blvd
Ste 201
Santa Monica, CA 90401
Phone (310) 395-1261

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1376504076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 LINCOLN BLVD STE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011710",
            "telephone_number": "310-395-1261",
            "fax_number": "310-395-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 LINCOLN BLVD STE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011710",
            "telephone_number": "310-395-1261",
            "fax_number": "310-395-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHKI",
        "first_name": "MOEIZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.