Individual provider Active NPI

Hajir Moin, BDS, MDS

  • Dentist
  • Worcester, MA
National Provider Identifier
1396470514
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DF11971 Issued in MA
Practice address
150 Goddard Memorial Dr Ste 2
Worcester, MA 01603-1260
Phone
(508) 796-1555
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DF11971 MA Primary

Addresses

Primary practice location

150 Goddard Memorial Dr Ste 2
Worcester, MA 01603-1260

Mailing address

310 Finkbine LN Apt 9
Iowa City, IA 52246-1752
Phone (319) 471-1384

Other names 1

  • Dr. Hajira Moin Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Darren.Drag@tufts.edu Direct
Direct Messaging Address darren.drag@tufts.edu

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

State licenses

LicenseStateTypeSpecialty
DF11971MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1396470514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 FINKBINE LN APT 9",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522461752",
            "telephone_number": "319-471-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GODDARD MEMORIAL DR STE 2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031260",
            "telephone_number": "508-796-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIN",
        "first_name": "HAJIR",
        "name_prefix": "Dr.",
        "credential": "BDS, MDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DF11971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Darren.Drag@tufts.edu",
            "affiliation": "N",
            "endpointDescription": "Email of Clinic Director",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 Goddard Memorial Dr Ste 2",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016031260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "darren.drag@tufts.edu",
            "affiliation": "N",
            "address_1": "150 Goddard Memorial Dr Ste 2",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016031260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HAJIRA",
            "last_name": "MOIN",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.