NPIMap

Organization Active NPI

Momani DDS Inc

Doing business as Suave Dental #3

  • Dental Clinic/Center
  • Livingston, CA
National Provider Identifier
1861026940
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MOMANI DDS INC
Doing business as
Suave Dental #3
Practice address
706 Main St
Livingston, CA 95334-1308
Phone
(209) 535-9933
Fax
(209) 409-3611
NPI assigned
Feb 27, 2020
Last updated
Feb 27, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MOMANI DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Ahmad Momani, DDSNPI 1538490214
Title
Ceo
Phone
(209) 527-3990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

706 Main St
Livingston, CA 95334-1308

Mailing address

3025 McHenry Ave
Ste N
Modesto, CA 95350-1449
Phone (209) 337-4777

Other names 1

  • Suave Dental #3 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Momani DDS Inc10 organizations share this tax ID, including this one
Part of
Momani DDS Inc

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

706 Main St
Livingston, CA 95334
Phone (209) 535-9933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1861026940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 MCHENRY AVE",
            "address_2": "STE N",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501449",
            "telephone_number": "209-337-4777",
            "fax_number": "209-236-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 MAIN ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341308",
            "telephone_number": "209-535-9933",
            "fax_number": "209-409-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMANI DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOMANI DDS INC",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "MOMANI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-527-3990",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suave Dental #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.