Dara Nikoonezhad, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02691000 Issued in NJ

Practice address

151 Greentree Rd Ste a
Marlton, NJ 08053-9416

Phone

(856) 983-9620

Fax

(856) 983-7714

NPI assigned

Sep 20, 2017

Last updated

Sep 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Montalbano Nikoonezhad LLC

  dba Florence Dental Studio

  • Dentist
  • Florence, NJ
  • NPI 1942926761
  NPD Authorized official
• Roebling Dental Studio

  • Dental Clinic/Center
  • Roebling, NJ
  • NPI 1831980531
  NPD Authorized official
• South Jersey Dental Studio LLC

  • Dental Clinic/Center
  • Cherry Hill, NJ
  • NPI 1053035576
  Authorized official Same address or phone
• MFCD Haddonfield LLC

  • Dental Clinic/Center
  • Haddonfield, NJ
  • NPI 1982187456
  NPD (past)
• Monokian Family & Cosmetic Dentistry LLC

  • General Practice Dentistry
  • Marlton, NJ
  • NPI 1700937414
  NPD (past)

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1467961680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 ELY RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332352",
            "telephone_number": "732-615-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 GREENTREE RD STE A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539416",
            "telephone_number": "856-983-9620",
            "fax_number": "856-983-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOONEZHAD",
        "first_name": "DARA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02691000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nguyen Eye Care Associates, LLC
• Lisa T. Nguyen, DMD
• Natalie Lam Quynh Nguyen, RPH
• Catherine Daphne Nicolaides, M.D.
• Aban Nikoonezhad
• NJ MMJ LLC
• NJ Pain Associates (Peak Spine & Sports Medicine)
• NJ Preventive Health Edge Medical PC
• Noah Lindenberg PC
• Mercedes Noble

• General Practice Dentistry in Marlton, NJ
• Providers in Marlton, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.