DR. MOHAM M ANSARI DDS
NPI 1649718578
Dentist in North Highlands, CA

Active since February 11, 2017PECOS Enrolled
4815 WATT AVE, NORTH HIGHLANDS, CA 95660(855) 354-2242 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2020, May 18, 2019, Aug 3, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Moham M Ansari Dds NPPES

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

DR. MOHAM M ANSARI DDS (NPI 1649718578) is an individual dentist in North Highlands, California, licensed in California (102994) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649718578
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MOHAM M ANSARICredential: DDS
Location Address4815 WATT AVENorth Highlands, CA 95660-5108
Mailing Address7210 Murray DrStockton, CA 95210-3339
Sole ProprietorYes
Enumeration DateFebruary 11, 2017
Last NPPES UpdateAugust 31, 20204 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
NPI 1649718578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 102994
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.

4815 WATT AVE, North Highlands, CA 95660

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. Moham M Ansari 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 95660 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 20

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

Pediatrics
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Dentist (General Practice)
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Dentist (General Practice)
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Pediatrics
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Internal Medicine
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Dentist
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Dentist (General Practice)
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Physician Assistant
4815 WATT AVE
NORTH HIGHLANDS, CA 95660

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 Moham Ansari's NPI number?

The NPI number for Moham Ansari is 1649718578. It was assigned to this individual provider in the NPPES registry on February 11, 2017.

Where is Moham Ansari located?

Moham Ansari practices at 4815 Watt Ave, North Highlands, CA 95660. The listed phone number is (855) 354-2242.

What is Moham Ansari's specialty?

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

Is Moham Ansari enrolled in Medicare?

Yes. Moham Ansari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Moham Ansari was last updated on August 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.