Individual provider Active NPI

Allen Mossaei, DDS

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1467783985
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59083 Issued in CA
Practice address
4829 Panama LN Unit C
Bakersfield, CA 93313-3482
Phone
(661) 999-1501
Fax
(661) 412-4495
NPI assigned
Jan 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59083 CA Primary

Addresses

Primary practice location

4829 Panama LN Unit C
Bakersfield, CA 93313-3482

Mailing address

4829 Panama LN Unit C
Bakersfield, CA 93313-3482
Phone (661) 999-1501

Other names 1

  • Hassan Mossaei Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150925002712 CA Order and Referring Only - DentistPractitioner - Dentist 1355659285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Mossaei DDS Inc Past Accepting new patients

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": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1467783985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 PANAMA LN UNIT C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933133482",
            "telephone_number": "661-999-1501",
            "fax_number": "661-412-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 PANAMA LN UNIT C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933133482",
            "telephone_number": "661-999-1501",
            "fax_number": "661-412-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSAEI",
        "first_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-22",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HASSAN",
            "last_name": "MOSSAEI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.