Individual provider Active NPI

Neda Moezzi, D.D.S

  • Dentist
  • Valencia, CA
National Provider Identifier
1811285430
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63645 Issued in CA
Practice address
27420 Tourney Rd Ste 240
Valencia, CA 91355-5635
Phone
(661) 254-5200
NPI assigned
Jul 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 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 63645 CA Primary
General Practice Dentistry 1223G0001X 2901020508 MI

Addresses

Primary practice location

27420 Tourney Rd Ste 240
Valencia, CA 91355-5635

Mailing address

27420 Tourney Rd Ste 240
Valencia, CA 91355-5635
Phone (661) 254-5200

Other practice location 1

825 S Wayne Rd
Westland, MI 48186-4303
Phone (734) 678-9420

Other practice location 2

426 S Sepulveda Blvd Apt 103
Los Angeles, CA 90049-3555
Phone (310) 878-7470

Other names 1

  • Neda Moezzi Professional name

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
2901020508MIMDGeneral Practice Dentistry
63645CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Neda Moezzi DDS Inc CurrentSince May 12, 2024 Accepting new patients

Locations

27420 Tourney Rd
Ste 240
Valencia, CA 91355
Phone (661) 254-5200

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": "1310860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1811285430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27420 TOURNEY RD STE 240",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555635",
            "telephone_number": "661-254-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27420 TOURNEY RD STE 240",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555635",
            "telephone_number": "661-254-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 S Wayne Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481864303",
            "country_code": "US",
            "telephone_number": "734-678-9420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "426 S Sepulveda Blvd Apt 103",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900493555",
            "country_code": "US",
            "telephone_number": "310-878-7470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOEZZI",
        "first_name": "NEDA",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-17",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63645",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEDA",
            "last_name": "MOEZZI",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.