Mohmedvasim Rasul Momin, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

33857 Issued in TX

Practice address

7557 Rambler Rd Ste 111
Dallas, TX 75231-2360

Phone

(469) 729-5972

NPI assigned

Mar 10, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Vasim Rasul Momin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nomad Dental Specialist

  • Oral and Maxillofacial Surgery (Dentist)
  • Dallas, TX
  • NPI 1669239612
  NPD

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

{
    "created_epoch": "1331337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1902171838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 OLDE IVY LN",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945776",
            "telephone_number": "404-514-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER RD STE 111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312360",
            "telephone_number": "469-729-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMIN",
        "first_name": "MOHMEDVASIM",
        "middle_name": "RASUL",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-10",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "DEN.00203893",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "33857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VASIM",
            "last_name": "MOMIN",
            "middle_name": "RASUL",
            "prefix": "DR.",
            "credential": "DDS, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deandra Uju Momah
• Sarah L Momary, RN
• Momentus Health Holdings LLC
• Momentus Health Services LLC
• Chioma Vivian Momife
• Janneth Paola Momiy, MD
• Momo Group LLC
• Thamar Momo, PHARM D
• Hamidat Momoh, DPM
• Quinnet A Momoh, FNP

• Oral and Maxillofacial Surgery (Dentist) in Dallas, TX
• Providers in Dallas, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.