Active NPI
Momani DDS Inc
Doing business as Suave Dental #5
- Dental Clinic/Center
- Los Banos, CA
National Provider Identifier
1548895634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MOMANI DDS INC
- Doing business as
- Suave Dental #5
- Practice address
- 600 W I St.
Ste B
Los Banos, CA 93635-3460 - Phone
- (209) 675-7005
- NPI assigned
- Mar 9, 2020
- Organization subpart
- Yes
- Parent organization
- MOMANI DDS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmad Momani, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
600 W I St.
Ste B
Los Banos, CA 93635-3460
Mailing address
3025 McHenry Ave.
Ste N
Modesto, CA 95350-1449
Phone (209) 337-4777
Other names 1
- Suave Dental #5
National Provider Directory
National Provider Directory- Tax ID family
- Momani DDS Inc
- Part of
- Momani DDS Inc
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Livingston, CA
- NPI 1952238768
-
- General Practice Dentistry
- West Sacramento, CA
- NPI 1487246070
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Modesto, CA
- NPI 1538490214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583712000000",
"number": "1548895634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 MCHENRY AVE.",
"address_2": "STE N",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501449",
"telephone_number": "209-337-4777",
"fax_number": "209-236-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W I ST.",
"address_2": "STE B",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936353460",
"telephone_number": "209-675-7005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMANI DDS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MOMANI DDS INC",
"enumeration_date": "2020-03-09",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"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",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Suave Dental #5",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.