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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NIMA GHORBANI MOGHADDAM
NPI 1104741149
Dentist - General Practice in Lexington, SC

Active since August 11, 2026
203 N LAKE DR, LEXINGTON, SC 29072(803) 520-3110 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 1, 2026, Aug 30, 2026, Aug 11, 2026 (3 updates tracked since 2026).

About Nima Ghorbani Moghaddam NPPES

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

NIMA GHORBANI MOGHADDAM (NPI 1104741149) is an individual general practice provider in Lexington, South Carolina, licensed in South Carolina (11559) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1104741149
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameNIMA GHORBANI MOGHADDAM
Location Address203 N LAKE DRLexington, SC 29072-2833
Mailing Address5800 Highlands Plaza Dr Apt 521Saint Louis, MO 63110-1364 · Fax (864) 762-1210
Phone(803) 520-3110
Sole ProprietorNo
Enumeration DateAugust 11, 2026
Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1104741149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 11559
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 11559 (SC)
203 N LAKE DR, Lexington, SC 29072
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Other Providers at the Same Location NPPES 6

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

DR. JUDY NGUYEN DMD
Dentist (General Practice)
203 N LAKE DR
LEXINGTON, SC 29072
Lexington County (770) 692-1000
JOSHUA PEYSER DMD
Dentist (Pediatric Dentistry)
203 N LAKE DR
LEXINGTON, SC 29072
Lexington County (803) 619-0047
MRS. KATHRYN ROGERS SAMPLE DMD
Dentist
203 N LAKE DR
LEXINGTON, SC 29072
Lexington County (803) 356-1606
DR. JACQUELINE LEAH SADEGHIAN DDS
Dentist
203 N LAKE DR
LEXINGTON, SC 29072
Lexington County (678) 244-4871
DR. SUKHVINDER KAUR GURAM D.M.D.
Dentist (Pediatric Dentistry)
203 N LAKE DR
LEXINGTON, SC 29072
Lexington County (803) 429-7401
DENTISTRY FOR CHILDREN OF SOUTH CAROLINA PC
Dentist (Pediatric Dentistry)
203 N LAKE DR
LEXINGTON, SC 29072
Lexington County (404) 389-1950

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 Nima Ghorbani Moghaddam's NPI number?

The NPI number for Nima Ghorbani Moghaddam is 1104741149. It was assigned to this individual provider in the NPPES registry on August 11, 2026.

Where is Nima Ghorbani Moghaddam located?

Nima Ghorbani Moghaddam practices at 203 N Lake Dr, Lexington, SC 29072. The listed phone number is (803) 520-3110.

What is Nima Ghorbani Moghaddam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Nima Ghorbani Moghaddam was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.