MOMANI DDS INC (NPI# 1215329487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215329487 |
| Entity Type | Organization |
| Organization Name | MOMANI DDS INC |
| Practice Address |
3025 Mchenry Ave Ste N Modesto CA 95350 |
| Mailing Address |
3025 Mchenry Ave Ste N Modesto CA 95350-1449 |
| Practice Telephone | 2095273990 |
| Mailing Telephone | 2095359933 |
| Mailing Fax Number | 2095249922 |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | AHMAD MOMANI (CEO) |
| Authorized Official Telephone | 2095273990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
59081 | CA | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3309 Sierra St, Riverbank, CA 953672440 | 2098723399 | |
| 706 Main St, Livingston, CA 953341308 | 2095359933 | 2093943399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548895634 | Momani Dds Inc | Clinic/Center | 600 W I St., Ste B, Los Banos, CA 93635-3460 | 2020-03-09 |
| 1588298673 | Momani Dds Inc | Clinic/Center | 3309 Sierra St, Riverbank, CA 95367-2440 | 2020-02-27 |
| 1932733029 | Momani Dds Inc | Clinic/Center | 333 San Carlos Wy, Ste A, Stockton, CA 95207-2037 | 2020-02-27 |
| 1861026940 | Momani Dds Inc | Clinic/Center | 706 Main St, Livingston, CA 95334-1308 | 2020-02-27 |
| Street Address |
3025 MCHENRY AVE STE N |
| City | MODESTO |
| State | CA |
| Zip Code | 95350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412620 | Sungpil Park | Dentist | 3025 Mchenry Ave Ste N, Modesto, CA 95350-1449 | 2020-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1154817054 | Sylvania Sai-fan Yu Dds, Inc | Clinic/Center | 1801 Tully Rd Ste D1, Modesto, CA 95350-2937 | 2018-07-03 |
| 1588176440 | Edward S. Gerodias, Dmd. Inc. | Clinic/Center | 220 Standiford Ave Ste B, Modesto, CA 95350-1159 | 2017-11-01 |
| 1609254143 | Sheikh and Shelat Dds Inc | Clinic/Center | 2801 Coffee Rd Bldg B, Modesto, CA 95355-1756 | 2015-05-18 |
| 1891395653 | Rashmi Beedubail Dds A Professional Dental Corporation | Clinic/Center | 901 N Carpenter Rd Ste 2, Modesto, CA 95351-1199 | 2020-10-29 |
| 1184185753 | Elizabeth Sotomil Dds, Inc | Clinic/Center | 3609 Coffee Rd Ste 3, Modesto, CA 95355-1100 | 2019-03-27 |
| 1588191126 | A.patel,dds.inc. | Clinic/Center | 3430 Tully Rd Ste 21, Modesto, CA 95350-0840 | 2017-05-14 |
| 1902272701 | M N Ayyubi Dds Inc | Clinic/Center | 4120 Dale Rd, Suite J6, Modesto, CA 95356-9232 | 2015-08-15 |
| 1104156744 | Donald E. Clarke, D.d.s., Inc. | Clinic/Center | 1015 5th St, Modesto, CA 95351-2810 | 2010-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.