Fizza Moosavi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401418099 Issued in VA

Practice address

19631 Blair Orchard LN
Richmond, TX 77407-5501

Phone

(832) 913-9551

NPI assigned

Jul 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1871228692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19631 BLAIR ORCHARD LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774075501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19631 BLAIR ORCHARD LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774075501",
            "telephone_number": "832-913-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSAVI",
        "first_name": "FIZZA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "-",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401418099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivana Moore, LPC
• Judy Golden Moore
• Linda Moore, LCDC
• Sabastan Moore II, M.ED., LPC-INTERN
• Takisha Nicole Moore, PMRC, MHPS
• Tiffany Leanne Moppin, NP
• Anabel Lucio Morales, MS, LPC
• Ophelia R Morales, CPHT
• Jacklyn N Moreno, RBT,CPR
• Brittney Morning, MD

• Dentist in Richmond, TX
• Providers in Richmond, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.