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DR. REZA MOVAHED DMD
NPI 1790923365
Dentist - Oral and Maxillofacial Surgery in Chesterfield, MO

Active since February 04, 2009Opted out of Medicare · through Apr 23, 2027
1585 WOODLAKE DR STE 208, CHESTERFIELD, MO 63017(314) 878-6725(314) 878-6726 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2023, Jun 2, 2023, Jan 24, 2023 and 4 more (7 updates tracked since 2017).

About Dr. Reza Movahed Dmd NPPES

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

DR. REZA MOVAHED DMD (NPI 1790923365) is an individual oral and maxillofacial surgery provider in Chesterfield, Missouri, licensed in Missouri (2013024987) and active in the NPI registry since February 2009. He has opted out of Medicare through April 23, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790923365
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. REZA MOVAHEDCredential: DMD
Location Address1585 WOODLAKE DR STE 208Chesterfield, MO 63017-5740
Mailing Address1585 Woodlake Dr, Suite 208St. Louis, MO 63141 · (314) 878-6725 · Fax (314) 878-6726
Phone(314) 878-6725
Fax(314) 878-6726
Sole ProprietorYes
Enumeration DateFebruary 4, 2009
Last NPPES UpdateJune 5, 20237 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1790923365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in MO · 2013024987✔ Licensed in IL · 021002639
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1585 WOODLAKE DR STE 208, Chesterfield, MO 63017
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Secondary Practice Locations 2

Location 1220 Admiral Trost Rd Ste BColumbia, IL 62236-2163 · Phone (618) 344-3456
Location 2624 Pierce Blvd Ste 200O Fallon, IL 62269-2582 · Phone (618) 206-2630 · Fax (618) 206-2631

Other Identifiers 1

Other2013024987MO · License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Reza Movahed Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 23, 2021 through April 23, 2027.

Opt-Out Effective DateApril 23, 2021
Opt-Out In Effect ThroughApril 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

R MOVAHED DMD PC
Dentist (Oral and Maxillofacial Surgery)
1585 WOODLAKE DR STE 208
CHESTERFIELD, MO 63017
St. Louis County (314) 878-6725

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 Reza Movahed's NPI number?

The NPI number for Reza Movahed is 1790923365. It was assigned to this individual provider in the NPPES registry on February 4, 2009.

Where is Reza Movahed located?

Reza Movahed practices at 1585 Woodlake Dr Ste 208, Chesterfield, MO 63017. The listed phone number is (314) 878-6725.

What is Reza Movahed's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Reza Movahed enrolled in Medicare?

No. Reza Movahed has opted out of Medicare through April 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Reza Movahed accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Reza Movahed 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 Reza Movahed was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.