Moheb DMD Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MOHEB DMD INC

Practice address

2501 Nut Tree Rd
Vacaville, CA 95687

Phone

(707) 454-3888

Fax

(707) 454-3889

NPI assigned

Dec 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Alireza Moheb, DMD

Title

Ceo

Phone

(925) 457-6906

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Alamo Family Dental Care Doing business as
• UNLIMITED SMILES Doing business as

Tax ID family

Moheb DMD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Moheb DMD Inc

  • Dentist
  • Oakland, CA
  • NPI 1740583756
  NPD tax ID
• Moheb DMD Inc

  • Dentist
  • Walnut Creek, CA
  • NPI 1841593852
  NPD tax ID

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1487957494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 206",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964963",
            "telephone_number": "925-300-3992",
            "fax_number": "925-952-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-454-3888",
            "fax_number": "707-454-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHEB DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "MOHEB",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-457-6906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013096502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamo Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNLIMITED SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Nichole Modglin
• Jackson Reza Moezi, D.D.S.
• Sean Daniel Moffett, DC
• Asma F Moflehi
• Alana Layla Mohammed
• Martin Mojica, DPT
• Roberto Molera Jr., MD
• Karl Einar Molin Jr., MD
• Jenny Amanda Molina, PT
• Rachel Molten

• Dentist in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.