Aliraad Moattar DDS Inc

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ALIRAAD MOATTAR DDS INC

Practice address

3748 Montgomery Dr
Santa Rosa, CA 95405-5215

Phone

(707) 546-7905

Fax

(707) 546-1573

NPI assigned

May 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ali-Raad Moattar, DDSNPI 1326351974

Title

Owner Dentist

Phone

(707) 546-7905

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali-Raad Moattar, DDS

  • Dentist
  • Northridge, CA
  • NPI 1326351974
  NPD Authorized official
• Phillip Andrew Waterman Jr., DDS, MS

  • Endodontics
  • Santa Rosa, CA
  • NPI 1487700704
  NPD (past)

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1871167478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3748 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055215",
            "telephone_number": "707-546-7905",
            "fax_number": "707-546-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3748 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055215",
            "telephone_number": "707-546-7905",
            "fax_number": "707-546-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIRAAD MOATTAR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "MOATTAR",
        "authorized_official_first_name": "ALI-RAAD",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "707-546-7905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "59502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Alfaro
• Daniel Abraham Alfaro
• Jorge E Alfaro
• Kenneth L Alford, DMD
• Mir Karamat Ali
• Antonia Allawatt
• Brandon Allen
• Jessica Lynn Allen, RAS #M0605161317
• Leila Allen, SLP-MS
• Michelle Edwards Allen, PHARMD, BCPS, FCCM,

• Endodontics in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.