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

NIMA GHORBANI MOGHADDAM
NPI 1104741149
Dentist - Orthodontics and Dentofacial Orthopedics 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: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 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 orthodontics and dentofacial orthopedics 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 Taxonomy1223X0400X
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
Sole ProprietorNo
Enumeration DateAugust 11, 2026
NPPES CertifiedAugust 10, 2026
NPI 1104741149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in SC · 11559
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
203 N LAKE DR, Lexington, SC 29072

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.

Dentist (General Practice)
203 N LAKE DR
LEXINGTON, SC 29072
Dentist (Pediatric Dentistry)
203 N LAKE DR
LEXINGTON, SC 29072
Dentist
203 N LAKE DR
LEXINGTON, SC 29072
Dentist
203 N LAKE DR
LEXINGTON, SC 29072
Dentist (Pediatric Dentistry)
203 N LAKE DR
LEXINGTON, SC 29072
Dentist (Pediatric Dentistry)
203 N LAKE DR
LEXINGTON, SC 29072

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 Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Nima Ghorbani Moghaddam was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.