Sean Shayan Mojaver, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DDS110588 Issued in CA

Practice address

945 Crest Rd
Del Mar, CA 92014-2617

Phone

(858) 357-1778

NPI assigned

Sep 4, 2024

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

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

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.

• Mojaver Periodontics Inc

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1003705971
  NPD Authorized official

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1548095938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463024",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920463024",
            "telephone_number": "858-357-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 CREST RD",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142617",
            "telephone_number": "858-357-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJAVER",
        "first_name": "SEAN",
        "middle_name": "SHAYAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS110588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Militello, LMFT, LPCC
• Janet Rae Miller, LMFT
• Michael J Miller, D.M.D.
• Lynn Maria Minervini, L.AC. MSTOM
• Anu Mohan, DDS
• Ilana Molkner, MSW, LCSW
• Erika Montalvo, PA-C
• Donna Marie Montegna, LCSW
• Nicholas Keys Morel
• Raphael Adam Morris, MD

• Periodontics in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.