Mogeh Mozaffarian, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036017 Issued in PA

Practice address

15 Fox Chase Dr
North Wales, PA 19454-3645

Phone

(267) 808-2401

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801992227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FOX CHASE DR",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543645",
            "telephone_number": "267-808-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FOX CHASE DR",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543645",
            "telephone_number": "267-808-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZAFFARIAN",
        "first_name": "MOGEH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036017",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02291200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ji Weon Moon, ACUPUNCTURIST
• Sunghoon Moon
• Regina Adell Moore-Williams, OTR/L
• Heather E Moore, DPT
• Heather Elizabeth Morris, PA-C
• Kathleen V. Mullen, D.M.D.
• Daniel Murphy, PT
• Eric James Myers, DPT
• Sharon Nam, DMD
• Ravi Prakash Reddy Nanga

• General Practice Dentistry in North Wales, PA
• Providers in North Wales, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.