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AVA MANOOCHEHRI DDS
NPI 1548033905
Dentist - General Practice in Santa Rosa, CA

Active since November 06, 2023PECOS Enrolled
370 CODDINGTOWN CTR, SANTA ROSA, CA 95401(707) 867-1310 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ava Manoochehri Dds NPPES

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

AVA MANOOCHEHRI DDS (NPI 1548033905) is an individual general practice provider in Santa Rosa, California, licensed in California (109221) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548033905
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameAVA MANOOCHEHRICredential: DDS
Location Address370 CODDINGTOWN CTRSanta Rosa, CA 95401-3507
Mailing Address12 Wild Rose PlAliso Viejo, CA 92656-7058 · (949) 338-6015
Phone(707) 867-1310
Sole ProprietorNo
Enumeration DateNovember 6, 2023
NPPES CertifiedNovember 6, 2023
✔ NPI 1548033905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 109221
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.
370 CODDINGTOWN CTR, Santa Rosa, CA 95401
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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 Montana 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)

Ava Manoochehri 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 95401 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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 5

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

MAKENZIE WOLZ DDS
Dentist
370 CODDINGTOWN CTR
SANTA ROSA, CA 95401
Sonoma County (707) 867-1310
BAUTISTA AND PATEL DENTAL
Dentist (General Practice)
370 CODDINGTOWN CTR
SANTA ROSA, CA 95401
Sonoma County (707) 867-1310
ELLAINA YON DMD
Dentist
370 CODDINGTOWN CTR
SANTA ROSA, CA 95401
Sonoma County (707) 867-1310
DR. NICHOLAS PARKS DDS
Dentist (General Practice)
370 CODDINGTOWN CTR
SANTA ROSA, CA 95401
Sonoma County (707) 867-1310
DR. OSMAN MUHAMMD SHAREEF
Dentist (General Practice)
370 CODDINGTOWN CTR
SANTA ROSA, CA 95401
Sonoma County (707) 867-1310

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 Ava Manoochehri's NPI number?

The NPI number for Ava Manoochehri is 1548033905. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Ava Manoochehri located?

Ava Manoochehri practices at 370 Coddingtown Ctr, Santa Rosa, CA 95401. The listed phone number is (707) 867-1310.

What is Ava Manoochehri's specialty?

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

Is Ava Manoochehri enrolled in Medicare?

Yes. Ava Manoochehri is registered in the Medicare PECOS enrollment system.

What insurance does Ava Manoochehri accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Ava Manoochehri 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 Ava Manoochehri was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.