John Moushati, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0013133 Issued in FL

Legal business name

JOHN MOUSHATI, PA

Practice address

1749 NE 26TH St
Suite a
Wilton Manors, FL 33305-1428

Phone

(954) 564-3244

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Moushati, D.M.D.

Title

President

Phone

(954) 564-3244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457415077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 NE 26TH ST",
            "address_2": "SUITE A",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051428",
            "telephone_number": "954-564-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 NE 26TH ST",
            "address_2": "SUITE A",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051428",
            "telephone_number": "954-564-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MOUSHATI, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOUSHATI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-564-3244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.