Moonlight Dental Center

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MOONLIGHT DENTAL CENTER

Practice address

2500 Fondren Rd
Suite 205
Houston, TX 77063-2308

Phone

(713) 974-7252

Fax

(713) 974-5822

NPI assigned

Jul 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mahin Rahgozar, DDS,PA

Title

DDS,PA

Phone

(713) 974-7252

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1902161136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD",
            "address_2": "SUITE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632308",
            "telephone_number": "713-974-7252",
            "fax_number": "713-974-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD",
            "address_2": "SUITE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632308",
            "telephone_number": "713-974-7252",
            "fax_number": "713-974-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "RAHGOZAR",
        "authorized_official_first_name": "MAHIN",
        "authorized_official_title_or_position": "DDS,PA",
        "authorized_official_telephone_number": "713-974-7252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009577007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suresh C. Moonat, MD
• Elizabeth Mooney, APRN, NP-C
• Megan Anne Mooney, PH.D.
• Moonlight Convalescence Care LLC
• Moonlight Dental Center
• Siby P Moonnumakal, MD
• Moonstone Adult Day Center
• Mooon Healthcare Services, Inc
• Moore Dermatology PLLC
• Moore Guderian Mindful Solutions

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.