Moneeze Mujtaba, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17384 Issued in FL

Practice address

701 Promenade Dr
Suite 102
Pembroke Pines, FL 33026-6034

Phone

(954) 272-9250

Fax

(954) 272-9251

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1609926310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BRICKELL BAY DR",
            "address_2": "APT 3205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313251",
            "telephone_number": "954-272-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PROMENADE DR",
            "address_2": "SUITE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330266034",
            "telephone_number": "954-272-9250",
            "fax_number": "954-272-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUJTABA",
        "first_name": "MONEEZE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Michelle Moy, PH.D.
• Moya-Prida MD
• Jaynier Moya, MD
• MSB Therapy, P.a
• Pamela D Muir, RN
• Ayren Diarelis Mulen Tablada, RBT-23-286737
• Denise Mullings
• Multi Care Medical, LLC
• Genesis Mari Mundo-Fernandez
• Kevin Muneton, MD

• General Practice Dentistry in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.