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DR. SASAN MOGHANJOGHI MOKHTARI DDS
NPI 1972398832
Student in an Organized Health Care Education/Training Program in Richmond, VA

Active since April 11, 2025PECOS Enrolled
401 N 11TH ST, RICHMOND, VA 23219(804) 828-0602(804) 593-4279 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Apr 11, 2025 (2 updates tracked since 2025).

About Dr. Sasan Moghanjoghi Mokhtari Dds NPPES

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

DR. SASAN MOGHANJOGHI MOKHTARI DDS (NPI 1972398832) is an individual student in an organized health care education/training program in Richmond, Virginia, licensed in Virginia (0442000544) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972398832
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SASAN MOGHANJOGHI MOKHTARICredential: DDS
Location Address401 N 11TH STRichmond, VA 23219-1901
Mailing AddressPo Box 980257Richmond, VA 23298-0257 · (804) 828-9783
Phone(804) 828-0602
Fax(804) 593-4279
Sole ProprietorNo
Enumeration DateApril 11, 2025
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1972398832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in VA · 0442000544
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
401 N 11TH ST, Richmond, VA 23219
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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. Sasan Moghanjoghi Mokhtari 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.

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.

KATHERINE M CZYSZCZON MD
Obstetrics & Gynecology
401 N 11TH ST
RICHMOND, VA 23219
Richmond City (804) 828-4409
MARTIN HAUGSTAD DMD
Dentist (Oral and Maxillofacial Surgery)
401 N 11TH ST
RICHMOND, VA 23219
Richmond City (804) 828-0602
SCOTT M. STRAYER M.D.
Family Medicine
401 N 11TH ST
RICHMOND, VA 23219
Richmond City (804) 828-5883
NEIL BOES
Dentist (Oral and Maxillofacial Surgery)
401 N 11TH ST
RICHMOND, VA 23219
Richmond City (804) 828-0602
ASHLEY W. CARROLL MD
Obstetrics & Gynecology
401 N 11TH ST
RICHMOND, VA 23219
Richmond City (804) 828-4409
MRS. SHERLY BLESSEY JACOB NP
Nurse Practitioner (Family)
401 N 11TH ST
RICHMOND, VA 23219
Richmond City (804) 628-4327
NADA BOUZAIENE DMD
Dentist (Oral and Maxillofacial Surgery)
401 N 11TH ST
RICHMOND, VA 23219
Richmond City (804) 828-0602
EDWARD HENRY SPRINGEL MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
401 N 11TH ST
RICHMOND, VA 23219
Richmond City (804) 828-4409

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 Sasan Mokhtari's NPI number?

The NPI number for Sasan Mokhtari is 1972398832. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Sasan Mokhtari located?

Sasan Mokhtari practices at 401 N 11th St, Richmond, VA 23219. The listed phone number is (804) 828-0602.

What is Sasan Mokhtari's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sasan Mokhtari enrolled in Medicare?

Yes. Sasan Mokhtari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sasan Mokhtari was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.