Active NPI
Amin Movahhedian, DDS, DMD, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Spring, TX
National Provider Identifier
1841587367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 26446
- Practice address
- 20920 Kuykendahl Rd
Suite F
Spring, TX 77379-3378 - Phone
- (832) 617-2222
- Fax
- (832) 698-1780
- NPI assigned
- Jul 5, 2011
- Reactivated
- Apr 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 26446 | TX | Primary |
Addresses
Primary practice location
20920 Kuykendahl Rd
Suite F
Spring, TX 77379-3378
Mailing address
20920 Kuykendahl Rd Ste F
Spring, TX 77379-3378
Phone (832) 617-2222
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26446 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ava Orthodontics, PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Ava Orthodontics Pearland, PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
20920 Kuykendahl Rd
Ste F
Spring, TX 77379
Phone (832) 617-2222
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pearland, TX
- NPI 1518543032
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Spring, TX
- NPI 1235567371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1841587367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20920 KUYKENDAHL RD STE F",
"city": "SPRING",
"state": "TX",
"postal_code": "773793378",
"telephone_number": "832-617-2222",
"fax_number": "832-698-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20920 KUYKENDAHL RD",
"address_2": "SUITE F",
"city": "SPRING",
"state": "TX",
"postal_code": "773793378",
"telephone_number": "832-617-2222",
"fax_number": "832-698-1780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOVAHHEDIAN",
"first_name": "AMIN",
"credential": "DDS, DMD, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-05",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"deactivation_date": "2021-03-23",
"reactivation_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "26446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.