Active NPI
Momani DDS Inc
Doing business as Suave Dental #4
- Dental Clinic/Center
- Stockton, CA
National Provider Identifier
1932733029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MOMANI DDS INC
- Doing business as
- Suave Dental #4
- Practice address
- 333 San Carlos Wy
Ste a
Stockton, CA 95207-2037 - Phone
- (209) 536-8333
- Fax
- (209) 645-1002
- NPI assigned
- Feb 27, 2020
- Organization subpart
- Yes
- Parent organization
- MOMANI DDS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmad Momani, DDS
- Title
- Ceo
- Phone
- (209) 527-3990
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
333 San Carlos Wy
Ste a
Stockton, CA 95207-2037
Mailing address
3025 McHenry Ave
Ste N
Modesto, CA 95350-1449
Phone (209) 337-4777
Other names 1
- Suave Dental #4
National Provider Directory
National Provider Directory- Tax ID family
- Momani DDS Inc
- Part of
- Momani DDS Inc
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Livingston, CA
- NPI 1952238768
-
- General Practice Dentistry
- West Sacramento, CA
- NPI 1487246070
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Modesto, CA
- NPI 1538490214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582761600000",
"number": "1932733029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 MCHENRY AVE",
"address_2": "STE N",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501449",
"telephone_number": "209-337-4777",
"fax_number": "209-236-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SAN CARLOS WY",
"address_2": "STE A",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952072037",
"telephone_number": "209-536-8333",
"fax_number": "209-645-1002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMANI DDS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MOMANI DDS INC",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A",
"authorized_official_last_name": "MOMANI",
"authorized_official_first_name": "AHMAD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "209-527-3990",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Suave Dental #4",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.