NPIMap

Organization Active NPI

Momani DDS Inc.

  • General Practice Dentistry
  • West Sacramento, CA
National Provider Identifier
1487246070
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOMANI DDS INC.
Practice address
2727 West Capitol Ave
Ste B
West Sacramento, CA 95691-9569
Phone
(916) 898-5005
NPI assigned
Feb 5, 2021
Last updated
Feb 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Ahmad MomaniNPI 1538490214
Title
Ceo
Phone
(209) 527-3990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2727 West Capitol Ave
Ste B
West Sacramento, CA 95691-9569

Mailing address

3025 McHenry Ave Ste N
Modesto, CA 95350-1449

National Provider Directory

National Provider Directory
Tax ID family
Momani DDS Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2727 W Capitol Ave
Ste B
West Sacramento, CA 95691
Phone (906) 898-5005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1487246070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 MCHENRY AVE STE N",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 WEST CAPITOL AVE",
            "address_2": "STE B",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956919569",
            "telephone_number": "916-898-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMANI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "MOMANI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-527-3990"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.