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Export Provider Record NPI 1164975520
Nikki Moshiri
Active
NPI Number1164975520
NPI TypeNPI-1 Individual
SpecialtyDentist, General Practice
Provider Details
NPI1164975520
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2016-08-02
Last Updated2024-09-05
Mailing Address715 Palm Bay Rd Ne Ste 185
West Melbourne, FL 32904-9184
United States
Phone: (321) 332-7375
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Primary Practice Address36051 5 Mile Rd
Livonia, MI 48154-1931
United States
Phone: (734) 462-6400
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223G0001X – Dentist, General PracticeMI2901600357
No122300000X – DentistFLDN22188
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About NPI 1164975520

Nikki Moshiri is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1164975520. The primary specialty listed is Dentist, General Practice. The provider is located in Livonia, MI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-08-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1164975520?

NPI 1164975520 belongs to Nikki Moshiri, a Dentist, General Practice in Livonia, MI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1164975520 active?

The current status of NPI 1164975520 in the NPPES registry is Active. The record was last updated on 2024-09-05.

What specialty is NPI 1164975520?

NPI 1164975520 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1164975520?

You can verify NPI 1164975520 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1164975520?

The primary practice address on file for NPI 1164975520 is 36051 5 Mile Rd, Livonia, MI 48154-1931. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1164975520 issued?

NPI 1164975520 was first issued (enumerated) on 2016-08-02. The NPPES record was last updated on 2024-09-05.

Practice Location Map

Nikki Moshiri is located at 36051 5 Mile Rd, Livonia, MI. Use the map below to find directions or verify the practice location.

📍 36051 5 Mile Rd, Livonia, MI 48154-1931  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Nikki Moshiri. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1164975520. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist, General Practice2901600357MI
DentistDN22188FL
Data Verified from CMS NPPES Last synced: 2026-07-08 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162