Individual provider Active NPI

Sonya Movassaghi, D.M.D.

  • General Practice Dentistry
  • Solon, OH
National Provider Identifier
1639542079
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS040662 Issued in PA
Practice address
34194 Aurora Rd
#166
Solon, OH 44139
Phone
(817) 706-8654
NPI assigned
Nov 6, 2015
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100170 CA
Dentist 122300000X 30.24748 OH
General Practice Dentistry 1223G0001X 4191 WV
General Practice Dentistry 1223G0001X DS040662 PA Primary

Addresses

Primary practice location

34194 Aurora Rd
#166
Solon, OH 44139

Mailing address

34194 Aurora Rd
#166
Solon, OH 44139-3801

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
100170CAMDSocial Worker
30.24748OHMDDentist
DS040662PAMDGeneral Practice Dentistry
4191WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1639542079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34194 AURORA RD",
            "address_2": "#166",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34194 AURORA RD",
            "address_2": "#166",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "44139",
            "telephone_number": "817-706-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVASSAGHI",
        "first_name": "SONYA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100170",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.24748",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4191",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.