Active NPI
Reyan Abdelmoniem
- Dentist
National Provider Identifier
1912689852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13472620-9922
- Practice address
- PSC 475
Box 1
Fpo, AP 96350-1200 - Phone
- (301) 281-5655
- NPI assigned
- Aug 1, 2023
- Last updated
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13472620-9922 | UT | Primary |
Addresses
Primary practice location
PSC 475
Box 1
Fpo, AP 96350-1200
Mailing address
PSC 475
Box 1
Fpo, AP 96350-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13472620-9922 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Branch Medical Clinic Bangor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Silverdale, WA
- NPI 1932302262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1912689852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 475",
"address_2": "BOX 1",
"city": "FPO",
"state": "AP",
"postal_code": "963501200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "MIL",
"address_1": "PSC 475",
"address_2": "BOX 1",
"city": "FPO",
"state": "AP",
"postal_code": "963501200",
"telephone_number": "301-281-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELMONIEM",
"first_name": "REYAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-01",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "13472620-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.