Active NPI
Pooja Mahajan
- General Practice Dentistry
- Manchester, NH
National Provider Identifier
1013774058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 05109
- Practice address
- 1031 Gold St
Manchester, NH 03103-4008 - Phone
- (207) 994-7436
- NPI assigned
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 05109 | NH | Primary |
Addresses
Primary practice location
1031 Gold St
Manchester, NH 03103-4008
Mailing address
500 Central Park Dr Apt 819
Oklahoma City, OK 73105-1736
Phone (714) 910-0926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05109 | NH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1013774058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CENTRAL PARK DR APT 819",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731051736",
"telephone_number": "714-910-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 GOLD ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031034008",
"telephone_number": "207-994-7436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAJAN",
"first_name": "POOJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NH",
"license": "05109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.