Individual provider Active NPI

John Moushati, D.M.D.

  • General Practice Dentistry
  • Fort Lauderdale, FL
National Provider Identifier
1679993992
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0013133 Issued in FL
Practice address
3015 Bayview Dr Ste B
Fort Lauderdale, FL 33306-1710
Phone
(954) 564-3244
Fax
(954) 564-3245
NPI assigned
Apr 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN0013133 FL Primary

Addresses

Primary practice location

3015 Bayview Dr Ste B
Fort Lauderdale, FL 33306-1710

Mailing address

3015 Bayview Dr Ste B
Fort Lauderdale, FL 33306-1710
Phone (954) 564-3244

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
DN0013133FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Family Dentistry, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1679993992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 BAYVIEW DR STE B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061710",
            "telephone_number": "954-564-3244",
            "fax_number": "954-564-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 BAYVIEW DR STE B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061710",
            "telephone_number": "954-564-3244",
            "fax_number": "954-564-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSHATI",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.