Nivin M Moheieldin

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103486 Issued in CA

Practice address

902 E Hammer LN
Stockton, CA 95210-3027

Phone

(669) 220-0464

NPI assigned

Jan 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nivin Moheieldin DDS. Inc

  • Dental Clinic/Center
  • Hesperia, CA
  • NPI 1447026695
  NPD Authorized official

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1457825697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11090 MOUNTAIN VIEW DR APT 62",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308914",
            "telephone_number": "669-220-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E HAMMER LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103027",
            "telephone_number": "669-220-0464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 W B St",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917623503",
            "country_code": "US",
            "telephone_number": "909-984-4746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHEIELDIN",
        "first_name": "NIVIN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadesh A Mofor
• Rayan Ibrahim Mohamed
• Asad Sarwath Mohammad Jani, MD
• Mohawa Behavioral Health Apc
• Nur Zulaika Binti Mohd Zulkephli, MA
• Baseer Mohiuddin, DO
• Judy Lopez Mojica, DDS
• Rosaura Mojica
• Vincent S Mojica
• Sreya Molakalapalli, MBBS, MPH

• General Practice Dentistry in Stockton, CA
• Providers in Stockton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.