DR. IDEAN K MOHAMMADI DDS
NPI 1962128603
Dentist in Stillwater, OK

Active since October 14, 2022PECOS Enrolled
510 S DUCK ST, STILLWATER, OK 74074(405) 377-7300 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 12, 2026, Apr 7, 2026, Jun 11, 2024 and 1 more (4 updates tracked since 2022).

About Dr. Idean K Mohammadi Dds NPPES

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

DR. IDEAN K MOHAMMADI DDS (NPI 1962128603) is an individual dentist in Stillwater, Oklahoma, licensed in Oklahoma (7984) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962128603
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. IDEAN K MOHAMMADICredential: DDS
Location Address510 S DUCK STStillwater, OK 74074-4051
Mailing Address510 S Duck StStillwater, OK 74074-4051 · (405) 377-7300
Sole ProprietorNo
Enumeration DateOctober 14, 2022
Last NPPES UpdateMay 12, 20264 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1962128603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OK · 7984
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.

510 S DUCK ST, Stillwater, OK 74074

Accepted 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. Idean K Mohammadi 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 74074 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 3

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

Dentist (General Practice)
510 S DUCK ST
STILLWATER, OK 74074
Dentist (General Practice)
510 S DUCK ST
STILLWATER, OK 74074
Dentist
510 S DUCK ST
STILLWATER, OK 74074

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 Idean Mohammadi's NPI number?

The NPI number for Idean Mohammadi is 1962128603. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Where is Idean Mohammadi located?

Idean Mohammadi practices at 510 S Duck St, Stillwater, OK 74074. The listed phone number is (405) 377-7300.

What is Idean Mohammadi's specialty?

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

Is Idean Mohammadi enrolled in Medicare?

Yes. Idean Mohammadi is registered in the Medicare PECOS enrollment system.

What insurance does Idean Mohammadi accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 16 other insurers list Idean Mohammadi 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 Idean Mohammadi was last updated on May 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.