NASTARAN MOSHAEINEZHAD DDS
NPI 1407551401
Dentist - General Practice in Myrtle Beach, SC

Active since March 31, 2023
1209 N RETAIL CT, MYRTLE BEACH, SC 29577(843) 357-0213 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2023, Mar 31, 2023 (2 updates tracked since 2023).

About Nastaran Moshaeinezhad Dds NPPES

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

NASTARAN MOSHAEINEZHAD DDS (NPI 1407551401) is an individual general practice provider in Myrtle Beach, South Carolina, licensed in South Carolina (DGD.10596) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1407551401
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameNASTARAN MOSHAEINEZHADCredential: DDS
Location Address1209 N RETAIL CTMyrtle Beach, SC 29577-9626
Mailing Address845 Bluffview DrMyrtle Beach, SC 29579-5268 · (718) 808-3942
Sole ProprietorNo
Enumeration DateMarch 31, 2023
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
NPI 1407551401 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 · DGD.10596
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.

1209 N RETAIL CT, Myrtle Beach, SC 29577

Other Names 1

Professional Name (2)Dr. Rose Moshaeinezhad Dds, Mph

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Dentist
1209 N RETAIL CT
MYRTLE BEACH, SC 29577
Dentist (General Practice)
1209 N RETAIL CT
MYRTLE BEACH, SC 29577
Dentist
1209 N RETAIL CT
MYRTLE BEACH, SC 29577
Dentist (General Practice)
1209 N RETAIL CT
MYRTLE BEACH, SC 29577
Dentist
1209 N RETAIL CT
MYRTLE BEACH, SC 29577
Dentist
1209 N RETAIL CT
MYRTLE BEACH, SC 29577
Dentist (General Practice)
1209 N RETAIL CT
MYRTLE BEACH, SC 29577

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 Nastaran Moshaeinezhad's NPI number?

The NPI number for Nastaran Moshaeinezhad is 1407551401. It was assigned to this individual provider in the NPPES registry on March 31, 2023. The provider is also known as Dr. Rose Moshaeinezhad Dds, Mph.

Where is Nastaran Moshaeinezhad located?

Nastaran Moshaeinezhad practices at 1209 N Retail Ct, Myrtle Beach, SC 29577. The listed phone number is (843) 357-0213.

What is Nastaran Moshaeinezhad's specialty?

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

What insurance does Nastaran Moshaeinezhad accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 13 other insurers list Nastaran Moshaeinezhad 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 Nastaran Moshaeinezhad was last updated on July 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.