Morin F. Montazeri, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

19011 Issued in MA

Practice address

63 Mass Ave
Arlington, MA 02474-8612

Phone

(178) 164-6700

Fax

(178) 164-6412

NPI assigned

Jul 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1013107739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MASS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748612",
            "telephone_number": "178-164-6700",
            "fax_number": "178-164-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MASS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748612",
            "telephone_number": "178-164-6700",
            "fax_number": "178-164-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAZERI",
        "first_name": "MORIN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Millner, PHD
• Yong-Jun Min, LIC. AC.
• Kimberly Lee Miner, FNP
• Melanie J Moisan, LMHC
• Marya F Montazeri, DMD
• Mooney Therapy Inc
• Moonflower Therapy, LLC
• Patricia Rose Moore, PSYD INACTIVE RN MTC
• Manjot Singh More
• Lydia Rose Morest, L.I.C.S.W

• Dentist in Arlington, MA
• Providers in Arlington, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.