Moeiz Koshki DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MOEIZ KOSHKI DDS INC

Practice address

1227 Lincoln Blvd Ste 201
Santa Monica, CA 90401-1710

Phone

(310) 395-1261

Fax

(310) 395-6645

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

Vicki S Levin

Title

Office Manager

Phone

(310) 395-1261

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moeiz Koshki, DDS

  • Dentist
  • Santa Monica, CA
  • NPI 1376504076
  NPD

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1497228555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 LINCOLN BLVD STE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011710",
            "telephone_number": "310-395-1261",
            "fax_number": "310-395-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 LINCOLN BLVD STE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011710",
            "telephone_number": "310-395-1261",
            "fax_number": "310-395-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOEIZ KOSHKI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-395-1261"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.