Nomad Dental Specialist

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NOMAD DENTAL SPECIALIST

Practice address

6337 Tulip LN
Dallas, TX 75230-3829

Phone

(045) 148-1204

Fax

(833) 415-1902

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Rebecca Peterson

Title

Credentialing Coordinator

Phone

(951) 833-2740

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mohmedvasim Rasul Momin, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Dallas, TX
  • NPI 1902171838
  NPD

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1669239612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6337 TULIP LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303829",
            "telephone_number": "404-287-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6337 TULIP LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303829",
            "telephone_number": "045-148-1204",
            "fax_number": "833-415-1902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6337 Tulip Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752303829",
            "country_code": "US",
            "telephone_number": "404-287-8120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOMAD DENTAL SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "951-833-2740"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nolen Health Solutions
• Davion Nolen
• Brooklyn Noll, MS, SLP-CF
• Jennifer Nolley, APRN-CNP
• S.E. Nolley, D.D.S.
• Michele Nompone, PHARMD
• Daisuke Francis Nonaka, M.D.
• Kim Noonan, LPC
• Noorani and Noorani LLC (Timeless Home Care)
• Sahil Noorani, DO

• Oral and Maxillofacial Surgery (Dentist) in Dallas, TX
• Providers in Dallas, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

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