Mohammadreza Assadzadeh, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-029820-L Issued in PA

Practice address

250 W Lancaster Ave
Suite 240
Paoli, PA 19301-1743

Phone

(610) 640-9500

Fax

(610) 640-4700

NPI assigned

May 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Reza Assad Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles (1 of 4)

Networks

• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Dentistry, P.C.

  • General Practice Dentistry
  • Paoli, PA
  • NPI 1720290067

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003028440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 CHAPS LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193826174",
            "telephone_number": "610-455-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE",
            "address_2": "SUITE 240",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011743",
            "telephone_number": "610-640-9500",
            "fax_number": "610-640-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSADZADEH",
        "first_name": "MOHAMMADREZA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-029820-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REZA",
            "last_name": "ASSAD",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cheryl Armstrong
• Jennifer L Armstrong, MD
• Teresa Arocena, FNP-BC
• Arrive Therapy
• Arthritis Associates of the Main Line, PC
• Rachael Atherley
• Sumanth Atluri, MD
• John M Babinecz, MD
• Jennifer Badgley, PH.D.
• Scott Higgins Bailey, MD

• All providers in Paoli, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.