Shaheen M Moezzi, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

00202224 Issued in CO

Practice address

5600 W 44TH Ave Ste 200
Denver, CO 80212-7339

Phone

(303) 421-0063

Fax

(720) 907-1485

NPI assigned

Aug 29, 2011

Last updated

Aug 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Royal Falcons LLC

  • Dentist
  • Denver, CO
  • NPI 1124533328
  NPD Authorized official
• Carepoint Anesthesia Group LLC

  • Dental Anesthesiology
  • Greenwood Village, CO
  • NPI 1780938274
  NPD
• Carepoint Dental Anesthesia Group of Michigan, PLLC

  • Dental Anesthesiology
  • Grand Rapids, MI
  • NPI 1487262820
  NPD

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1609157171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 E PRENTICE AVE STE 215",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112990",
            "telephone_number": "720-606-4220",
            "fax_number": "720-606-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W 44TH AVE STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127339",
            "telephone_number": "303-421-0063",
            "fax_number": "720-907-1485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8301 E Prentice Ave Ste 215",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112990",
            "country_code": "US",
            "telephone_number": "720-606-4220",
            "fax_number": "720-606-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOEZZI",
        "first_name": "SHAHEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-29",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CO",
            "license": "00202224",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "3121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06678866",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Modivcare Solutions, LLC
• Samantha Sage Moe Harrington
• Cynthia Moe, CCC-SLP
• Roswitha Moehring, M.D.
• Teresa Jean Moen, MSPT
• Abigail Rae Moffitt, AU.D.
• John C Mogab, MD
• Ezzat Moghazy, PHD
• Abhishek Reddy Mogili, MD, MPH
• Caroline Rae Kovaleski Mogler, M.D

• Dental Anesthesiology in Denver, CO
• Providers in Denver, CO by specialty
• Dental Anesthesiology in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.