Barsha Moktan, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS040853 Issued in PA

Practice address

357 S Gulph Road
#110
King of Prussia, PA 19406

Phone

(610) 337-2325

NPI assigned

Jun 14, 2016

Last updated

Jul 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1912357690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PIMLICO DR",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194033962",
            "telephone_number": "484-636-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 S GULPH ROAD",
            "address_2": "#110",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "610-337-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKTAN",
        "first_name": "BARSHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS040853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Mitchell-Bittencourt, RBT
• Margaret Anne Mitchell
• Maurice Mitchell
• MLS Pharmacy LLC (Main Line Spine Pharmacy)
• Michaela Mocanu, MD
• Monarch Med Spa, Inc. (Monarch Med Spa)
• Gabriela Anahi Mongelos, LBS
• Bianca Montalvo
• Montco Wound and Primary Care Center PC
• Montgomery County Wound Healing Center LLC

• Pediatric Dentistry in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.