DR. MOHMEDVASIM RASUL MOMIN


Address: 6650 W 120th Ave # 6, Broomfield, CO 80020-7614
Phone: 4045148120

DR. MOHMEDVASIM RASUL MOMIN (NPI# 1902171838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902171838
Entity Type Individual
Full Name DR. MOHMEDVASIM RASUL MOMIN
Other Name DR. VASIM RASUL MOMIN
Credential DDS, MD
Practice Address 6650 W 120th Ave # 6
Broomfield
CO 80020-7614
Mailing Address 2664 Olde Ivy Ln
Conyers
GA 30094-5776
Practice Telephone 4045148120
Mailing Telephone 4045148120
Enumeration Date 2012-03-10
Last Update Date 2019-08-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
33857 TX Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DEN.00203893 CO Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1740 W Taylor St, Chicago, IL 606127232 8666002273
2565 Town Center Blvd N, Sugar Land, TX 774792318 2814944449
462 S Mason Rd Ste 100, Katy, TX 774502454 2813953555
6831 Highway 6 N, Houston, TX 770841315 2818617054
8455 Fannin St, Houston, TX 770544803 7137979041

Office Location

Street Address 6650 W 120TH AVE # 6
City BROOMFIELD
State CO
Zip Code 80020-7614

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NPI Name Taxonomy Address Enumeration
1487210993 Terri Lynn Rist Day Training, Developmentally Disabled Services 12161 Crabapple Street, Broomfield, CO 80020 2019-05-10
1063984409 This Is Massage Registered Nurse 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 2018-12-26
1588187678 Jenny St. Claire Counselor 80 Garden Ctr Ste 140, Broomfield, CO 80020 2017-07-20
1649791880 Brett T Nelson Dentist 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 2017-06-28
1073033411 Patrice S Lensmire Gauthier Occupational Therapist 12970 Sheridan Blvd, Broomfield, CO 80020 2017-06-27
1871047753 Michelle L Fussnecker Physician Assistant 6450 W 120th Ave Unit A, Broomfield, CO 80020 2016-08-09
1588029565 Courtney Miller Marriage & Family Therapist 26 Garden Center Suite 1, Broomfield, CO 80020 2015-12-17
1659742161 Heather Scott Physician Assistant 340 E 1st Ave Ste 100, Broomfield, CO 80020 2015-10-09
1154701407 Emily Arrington Speech-Language Pathologist 1790 W 6th Ave, Broomfield, CO 80020 2015-06-02
1376939884 Retro Dental Group Broomfield Dentist 5105 120th Ave, Broomfield, CO 80020 2015-04-10
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164437539 Bruce C Wetmore Dentist 80 Garden Ctr, Suite 223, Broomfield, CO 80020-7087 2006-07-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669071189 Oms Associates Colorado PC Dentist 755 Maleta Ln Ste A, Castle Rock, CO 80108-7610 2020-10-26
1346849866 Oms Associates Colorado PC Dentist 1755 Telstar Dr Ste 210, Colorado Springs, CO 80920-1018 2020-10-26
1740889260 Oms Associates Colorado PC Dentist 10219 Parkglenn Way Ste 201, Parker, CO 80138-3875 2020-10-26
1386266070 Blue Sky Oms P.C. Dentist 1707 61st Ave Ste 102, Greeley, CO 80634-7997 2020-05-15
1679121404 James W Makowski Dds PC Dentist 1220 S Parker Rd Ste 104, Denver, CO 80231-2166 2019-08-26
1528553070 Comfort Dental Oral Surgery Colorado Springs LLC Dentist 556 W. Hwy 105, Monument, CO 80132 2018-06-27
1689167280 Cheyenne Mountain Oral Surgery PC Dentist 640 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3884 2018-06-08
1932692589 Glendale Oral Surgery PC Dentist 3955 E Exposition Ave Ste 520, Denver, CO 80209-5030 2018-06-08
1790292431 Alix Greenman Dentist 6179 S Balsam Way Ste 100, Littleton, CO 80123-3092 2018-01-03
1467967307 Boulder Oral Surgery Dentist 3450 Penrose Pl Ste 120, Boulder, CO 80301-1800 2017-12-13
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Competitor

Search similar providers

City BROOMFIELD
Zip Code 80020

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Dataset Information

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.

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