Individual provider Active NPI

Hooman Monajemi

  • Dentist
  • Mesa, AZ
National Provider Identifier
1780343350
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D011674 Issued in AZ
Practice address
944 N Gilbert Rd Ste 101
Mesa, AZ 85203-5836
Phone
(480) 741-2706
NPI assigned
Dec 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 107180 CA
Dentist 122300000X D011674 AZ Primary

Addresses

Primary practice location

944 N Gilbert Rd Ste 101
Mesa, AZ 85203-5836

Mailing address

20979 Timber Ridge Ter Unit 101
Ashburn, VA 20147-7734

Other practice location 1

20979 Timber Ridge Ter Unit 101
Ashburn, VA 20147-7734
Phone (703) 819-7037

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
D011674AZMDDentist
107180CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1780343350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20979 TIMBER RIDGE TER UNIT 101",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 N GILBERT RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035836",
            "telephone_number": "480-741-2706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20979 Timber Ridge Ter Unit 101",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201477734",
            "country_code": "US",
            "telephone_number": "703-819-7037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONAJEMI",
        "first_name": "HOOMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-10",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107180",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.