DR. JACKSON REZA MOEZI D.D.S.
NPI 1073636445
Dentist in Vacaville, CA

Q: What is Jackson Moezi's NPI number?

The NPI number for Jackson Moezi is 1073636445. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Q: What is Jackson Moezi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Moezi was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2007PECOS Enrolled

3000 ALAMO DR, SUITE 107, VACAVILLE, CA 95687(707) 446-7701(707) 446-1628 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jackson Reza Moezi D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACKSON REZA MOEZI D.D.S. (NPI 1073636445) is an individual dentist in Vacaville, California, licensed in California (37707) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073636445

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JACKSON REZA MOEZICredential: D.D.S.

Location Address3000 ALAMO DR, SUITE 107Vacaville, CA 95687-6350

Mailing Address1350 Burton Dr, Ste 230Vacaville, CA 95687-3542 · (707) 446-7701 · Fax (707) 446-1628

Phone(707) 446-7701

Fax(707) 446-1628

Sole ProprietorYes

Enumeration DateApril 9, 2007

Last NPPES UpdateAugust 3, 2016

✔ NPI 1073636445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 37707

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3000 ALAMO DR, Vacaville, CA 95687

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jackson Reza Moezi D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95687 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$80.24 typical visit price

range $21.86 – $157.69

Typical copayment $20.06 (range $5.46 – $39.42)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL PETER WELTON DDS

Dentist

3000 ALAMO DR, SUITE 103
VACAVILLE, CA 95687

Solano County (707) 452-0420

KRISTIN BOHLENDER

Specialist/Technologist (Speech-Language Assistant)

3000 ALAMO DR, 209
VACAVILLE, CA 95687

Solano County (210) 413-3347

DR. GERALD PHILLIP KABAN D.D.S.

Dentist

3000 ALAMO DR, SUITE 109
VACAVILLE, CA 95687

Solano County (707) 689-5075

DR. KALMAN C. LEONG O.D.

Optometrist

3000 ALAMO DR, SUITE 207
VACAVILLE, CA 95687

Solano County (707) 447-9899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Moezi's NPI number?

The NPI number for Jackson Moezi is 1073636445. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Jackson Moezi located?

Jackson Moezi practices at 3000 Alamo Dr Suite 107, Vacaville, CA 95687. The listed phone number is (707) 446-7701.

What is Jackson Moezi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jackson Moezi enrolled in Medicare?

Yes. Jackson Moezi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackson Moezi was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.