Moein Jabbar Darjani, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DEN1001701 Issued in DC

Practice address

1145 19TH St NW Ste 314
Washington, DC 20036-3717

Phone

(310) 402-4038

NPI assigned

Sep 8, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ideal Endodontics PLLC

  • Endodontics
  • Washington, DC
  • NPI 1275031486
  NPD Authorized official
• Ideal Endodontics of Woodbridge PLLC

  • Endodontics
  • Woodbridge, VA
  • NPI 1205307238
  NPD Authorized official

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1508147190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW STE 314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363717",
            "telephone_number": "310-402-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW STE 314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363717",
            "telephone_number": "310-402-4038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Rohrer St Apt 3B",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156012972",
            "country_code": "US",
            "telephone_number": "310-402-4038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 Rohrer St Apt 3B",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156012972",
            "country_code": "US",
            "telephone_number": "310-402-4038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JABBAR DARJANI",
        "first_name": "MOEIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "055711-1",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS040860",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "63468",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401413097",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14823",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055711-1",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "DC",
            "license": "DEN1001701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamad Sami Jaafar, M.D.
• Isaac Ettienne Jabang
• Madilene Jabang
• Haja Iye Jabba
• Oseh Jabba, HHA
• Yalda Jabbarpour, M.D.
• Josephine T Jabbie
• Mohamed A Julaba Jabbie, CASE MANAGER
• Yalisa Safiatu Jabbie
• Gina Pascale Jabbour, M.D.

• Endodontics in Washington, DC
• Providers in Washington, DC by specialty
• Endodontics in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.