Mona Momeni Moghaddam
NPI 1457044323ActiveIndividual· Dentist, Pediatric Dentistry· Stockton, CA
Dentist, Pediatric Dentistry in Stockton, California, licensed in CA and MI, with an NPI issued in May 2023. Enrolled in Medicare as order and referring only - dentist.
Overview
| NPI | 1457044323 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 29, 2023 |
| Last updated in NPPES | Dec 5, 2025 |
| Certified by provider | Dec 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 112043 | CA |
| Dentist, Pediatric Dentistry | 1223P0221X | 2901602400 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (MI) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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