Maryam Motamedinia, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

63634 Issued in CA

Practice address

24142 Park Riviera
Calabasas, CA 91302-2533

Phone

(818) 439-2996

NPI assigned

Jul 14, 2014

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 21, 2016 through Apr 21, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Two Trees Dental Center

  • Dental Clinic/Center
  • Ventura, CA
  • NPI 1740667781
  NPD (past)

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1962819748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24142 PARK RIVIERA",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022533",
            "telephone_number": "818-439-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24142 PARK RIVIERA",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022533",
            "telephone_number": "818-439-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTAMEDINIA",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Janine Moreno
• Gillian Morgan
• Rita Morgan, MA, RPT
• Julie Morris, PH.D.
• Melissa Mose, MA
• Mountain Ridge Associates
• Mulholland Medical Billing
• Allison Julia Munn, MD
• Dina Cohan Murphy, PT
• Hifza Murtuza

• Dentist in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.