Individual provider Active NPI

Mahnaz Nina Mojaver, D.M.D.

  • General Practice Dentistry
  • Poway, CA
National Provider Identifier
1609909126
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40681 Issued in CA
Practice address
15835 Pomerado Rd Ste 101
Poway, CA 92064-2042
Phone
(858) 487-4727
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40681 CA Primary

Addresses

Primary practice location

15835 Pomerado Rd Ste 101
Poway, CA 92064-2042

Mailing address

450 A St Ste 300
San Diego, CA 92101-4217
Phone (619) 233-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40681CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Centers of America Inc CurrentSince Aug 28, 2022 Accepting new patients
M.Nina Mojaver, D.M.D., a Dental Corp Current Accepting new patients

Locations

450 A St
Ste 300
San Diego, CA 92101
Phone (619) 657-0787

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1609909126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 A ST STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014217",
            "telephone_number": "619-233-3338",
            "fax_number": "619-233-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15835 POMERADO RD STE 101",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642042",
            "telephone_number": "858-487-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJAVER",
        "first_name": "MAHNAZ",
        "middle_name": "NINA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.