Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184128688 Individual Practitioner Male Practitioner

Dr. Nima Moaven , DDS, MS

Dentist - Endodontics • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Nima Moaven, DDS, MS is a registered healthcare professional specializing in Dentist - Endodontics in Phoenix, AZ. Practice services are available at 20950 N TATUM BLVD STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20950 N Tatum Blvd Ste 210

Phoenix, AZ 850504268

Telephone 4805388100
Associated Practice Facility / Clinic
🏢 Ridge Dental Specialists Llc Facility NPI 1689895765

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
29 Specialists

Practicing in Phoenix, AZ (152 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-12
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License AZ D011390

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License AZ D011390

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Daniel Przygocki , DDS

Dentist - Endodontics

NPI 1427262187

Doctor of Dental Surgery

Dr. Erin Schwoegl , DMD, MS

Dentist - Periodontics

NPI 1477133890

Doctor of Dental Medicine, Master of Science

Dr. Neil Zachs , DMD, MS

Dentist - Periodontics

NPI 1538397161

Doctor of Dental Medicine, Master of Science

Dr. Thomas Lammot , DDS

Dentist - Endodontics

NPI 1568683647

Doctor of Dental Surgery

Dr. Emad Khalifa , DDS, MS

Dentist - Endodontics

NPI 1891982443

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
👤
Provider Name / Credentials Updated October 02, 2022

Recorded as NIMA MOAVEN, DDS, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2022

Dentist (License #D011390 in AZ)

📍
Updated Practice Location June 23, 2022

Registered at 20950 N TATUM BLVD STE 210, PHOENIX, AZ 850504268 (Tel: 4805388100)

📍
Updated Business Mailing Address June 23, 2022

Registered at 20950 N TATUM BLVD STE 210, PHOENIX, AZ 850504268 (Tel: 4805388100)

📍
Updated Practice Location September 09, 2020

Registered at 8210 FLOYD CURL DR, SAN ANTONIO, TX 782293923 (Tel: 2103963184)

📍
Updated Business Mailing Address July 30, 2020

Registered at 8210 FLOYD CURL DR # 8121, SAN ANTONIO, TX 782293923 (Tel: 3012460082)

📍
Updated Practice Location July 08, 2018

Registered at 10833 LE CONTE AVE FL 2, LOS ANGELES, CA 90095 (Tel: 3108255619)

👤
Provider Name / Credentials Updated July 08, 2018

Recorded as NIMA MOAVEN, DDS

📍
Updated Practice Location May 14, 2018

Registered at 9722 FERNWOOD RD, BETHESDA, MD 20817 (Tel: 3015251978)

📍
Updated Business Mailing Address May 14, 2018

Registered at 10833 LE CONTE AVE FL 2, LOS ANGELES, CA 900951578 (Tel: 3015251978)

NPI Profile Active March 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2018

Registered at 9722 FERNWOOD RD, BETHESDA, MD 208171578 (Tel: 3015251978)

📍
Updated Business Mailing Address March 20, 2018

Registered at 9722 FERNWOOD RD, BETHESDA, MD 208171578 (Tel: 3015251978)

👤
Provider Name / Credentials Updated March 20, 2018

Recorded as NIMA MOAVEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 20, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184128688
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2018
Last Update: October 02, 2022
Sole Proprietor: Yes

Mailing Address

20950 N Tatum Blvd Ste 210

Phoenix, AZ 850504268

Phone: 4805388100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.