Active NPI
Sarah Momen, DDS
- Dentist
- Bridgeport, WV
National Provider Identifier
1841182946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4776
- Practice address
- 104 Hillhaven Dr
Bridgeport, WV 26330-2821 - Phone
- (304) 627-5941
- NPI assigned
- Jul 15, 2025
- Last updated
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4776 | WV | Primary |
Addresses
Primary practice location
104 Hillhaven Dr
Bridgeport, WV 26330-2821
Mailing address
104 Hillhaven Dr
Bridgeport, WV 26330-2821
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4776 | WV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1841182946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 HILLHAVEN DR",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263302821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 HILLHAVEN DR",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263302821",
"telephone_number": "304-627-5941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMEN",
"first_name": "SARAH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-15",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "4776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.