NPIMap

Organization Active NPI

Momani DDS Inc

  • General Practice Dentistry
  • Merced, CA
National Provider Identifier
1669224697
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOMANI DDS INC
Practice address
12 W 20TH St
Merced, CA 95340-3903
Phone
(209) 337-4777
Fax
(209) 831-3276
NPI assigned
Apr 3, 2024
Organization subpart
Yes
Parent organization
MOMANI DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Ahmad I Momani, DDSNPI 1538490214
Title
Ceo
Phone
(831) 578-0280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

12 W 20TH St
Merced, CA 95340-3903

Mailing address

1207 13TH St Ste 2
Modesto, CA 95354-0934
Phone (209) 337-4777

Other names 1

  • Suave Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Momani DDS Inc9 organizations share this tax ID, including this one
Part of
Momani DDS Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1207 13th St
Ste 2
Modesto, CA 95354

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1669224697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 13TH ST STE 2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540934",
            "telephone_number": "209-337-4777",
            "fax_number": "209-831-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W 20TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953403903",
            "telephone_number": "209-337-4777",
            "fax_number": "209-831-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMANI DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOMANI DDS INC",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "MOMANI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-578-0280",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suave Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.