Fardad Moein Vaziri, DMD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Stony Brook University School of
114 Rockland Hall
Stony Brook, NY 11794-8700

Phone

(516) 570-0112

NPI assigned

Jun 21, 2012

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

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1477816767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ROCKLAND HALL",
            "address_2": "STONY BROOK UNIVERSITY SCHOOL OF DENTAL MEDICINE",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948700",
            "telephone_number": "516-570-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY SCHOOL OF",
            "address_2": "114 ROCKLAND HALL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948700",
            "telephone_number": "516-570-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEIN VAZIRI",
        "first_name": "FARDAD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Yen Mitchell
• Theofanis Mitsinikos, D.O.
• Daniel Christopher Mockler, M.D.
• Gretchen L Mockler, M.D.
• Mohit Modgil, D.D.S
• Jared Mogul, PA-C
• Ola Esameldin Mohamed Ali, PHD
• Yousuf Mohammad, MD
• Najim Mohammady, M.D., M.S.
• Reza Mohammed Ali

• Student in an Organized Health Care Education/Training Program in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.