Raha Mozaffari DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RAHA MOZAFFARI DMD LLC

Practice address

244 E Girard Ave
Philadelphia, PA 19125-3929

Phone

(215) 739-2543

NPI assigned

Mar 5, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Raha Mozaffari, DMDNPI 1023370087

Title

Dentist

Phone

(215) 739-2543

Specialties & licenses 1

Addresses

Other names 1

• Fishtown Dentistry Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raha Mozaffari, D.M.D.

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1023370087
  NPD Authorized official
• David Slobodinsky, DDS

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1891883252
  NPD (past)

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1649865163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E FLORA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253315",
            "telephone_number": "215-740-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 E GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253929",
            "telephone_number": "215-739-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHA MOZAFFARI DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "MOZAFFARI",
        "authorized_official_first_name": "RAHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-739-2543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fishtown Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan B Ragonesi, M.D.
• Jordan Ragsdale
• Kia G Ragsdale, B.A.
• Lauren Renee Ragusa, CRNP
• Raha Home Care Agencey
• Ramtin Rahbari
• Bilal Ali Rahman, MBBS
• Minara Rahman, OD
• Nasifa Rahman, MD
• Riaz Rahman

• Dental Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.