DR. DORSA DAVARI-MOGHADAM DDS
NPI 1194448811
Dentist in Mission Hills, CA

Q: What is Dorsa Davari-moghadam's NPI number?

The NPI number for Dorsa Davari-moghadam is 1194448811. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Q: What is Dorsa Davari-moghadam's specialty?

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

Active since September 20, 2022PECOS Enrolled

10306 SEPULVEDA BLVD, MISSION HILLS, CA 91345(818) 722-1576 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2024, Sep 5, 2024, Sep 20, 2022 (3 updates tracked since 2022).

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About Dr. Dorsa Davari-moghadam Dds NPPES

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

DR. DORSA DAVARI-MOGHADAM DDS (NPI 1194448811) is an individual dentist in Mission Hills, California, licensed in California (108070) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194448811

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. DORSA DAVARI-MOGHADAMCredential: DDS

Location Address10306 SEPULVEDA BLVDMission Hills, CA 91345-2422

Mailing Address10306 Sepulveda BlvdMission Hills, CA 91345-2422 · (818) 722-1576

Phone(818) 722-1576

Sole ProprietorNo

Enumeration DateSeptember 20, 2022

Last NPPES UpdateDecember 19, 20243 updates tracked since enumeration

NPPES CertifiedDecember 19, 2024

✔ NPI 1194448811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 108070

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.

10306 SEPULVEDA BLVD, Mission Hills, CA 91345

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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. Dorsa Davari-moghadam Dds 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 91345 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

DR. NADA MAHMOUD AHMED ABDU DMD

Dentist

10306 SEPULVEDA BLVD
MISSION HILLS, CA 91345

Los Angeles County (818) 722-1576

NOBELS NEURODIAGNOSTIC MEDICAL GROUP INC.

Preferred Provider Organization

10306 SEPULVEDA BLVD
MISSION HILLS, CA 91345

Los Angeles County (818) 361-0115

SEDIQ AND HANNA DENTAL CORPORATION

Dentist

10306 SEPULVEDA BLVD
MISSION HILLS, CA 91345

Los Angeles County (818) 722-1576

ARIELLA KERENDIAN DDS

Dentist (General Practice)

10306 SEPULVEDA BLVD
MISSION HILLS, CA 91345

Los Angeles County (818) 722-1576

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 Dorsa Davari-moghadam's NPI number?

The NPI number for Dorsa Davari-moghadam is 1194448811. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Dorsa Davari-moghadam located?

Dorsa Davari-moghadam practices at 10306 Sepulveda Blvd, Mission Hills, CA 91345. The listed phone number is (818) 722-1576.

What is Dorsa Davari-moghadam's specialty?

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

Is Dorsa Davari-moghadam enrolled in Medicare?

Yes. Dorsa Davari-moghadam is registered in the Medicare PECOS enrollment system.

What insurance does Dorsa Davari-moghadam accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Dorsa Davari-moghadam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dorsa Davari-moghadam was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.