Organization Active NPI

Roshanak Momen Dental Inc

  • Endodontics
  • Mission Viejo, CA
National Provider Identifier
1871486126
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ROSHANAK MOMEN DENTAL INC
Practice address
26302 La Paz Rd Ste 210
Mission Viejo, CA 92691-5328
Phone
(949) 818-4884
NPI assigned
Jun 3, 2025
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Roshanak Momen, DDSNPI 1255785408
Title
Owner Dentist
Phone
(310) 404-4217

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
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

26302 La Paz Rd Ste 210
Mission Viejo, CA 92691-5328

Mailing address

26302 La Paz Rd Ste 210
Mission Viejo, CA 92691-5328
Phone (949) 818-4884

National Provider Directory

National Provider Directory

Locations

26302 La Paz Rd
Ste 210
Mission Viejo, CA 92691
Phone (949) 448-7667

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": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1871486126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD STE 210",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915328",
            "telephone_number": "949-818-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD STE 210",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915328",
            "telephone_number": "949-818-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSHANAK MOMEN DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "MOMEN",
        "authorized_official_first_name": "ROSHANAK",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "310-404-4217",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.