Mahpareh Marefat, DMD, DMSC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

#14735 Issued in MA

Practice address

2400 Computer Dr.
Oral Health Center
West Borough, MA 01581

Phone

(508) 329-2302

Fax

(508) 329-2255

NPI assigned

Jun 16, 2009

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

Other names 1

• Mary Marefat Professional name

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

Practice roles

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

• Advantage Dental Oral Health Center of Massachusetts, PC

  dba Advantage Dental Oral Health Center

  • General Practice Dentistry
  • Westborough, MA
  • NPI 1285284604
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1043447212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 COMPUTER DR.",
            "address_2": "ORAL HEALTH CENTER",
            "city": "WEST BOROUGH",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-329-2302",
            "fax_number": "508-329-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 COMPUTER DR.",
            "address_2": "ORAL HEALTH CENTER",
            "city": "WEST BOROUGH",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-329-2302",
            "fax_number": "508-329-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAREFAT",
        "first_name": "MAHPAREH",
        "credential": "DMD, DMSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "#14735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MAREFAT",
            "credential": "DMD, DMSC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ewa M. Mamber, O.D.
• Mana Pura Wellness LLC
• Mandala Health Services LLC
• Gordon S Manning, M.D.
• Matthew Manzella, DPT
• Ruth E Margulies, MS CCC-SLP
• Kendra Lyn Marien, L.C.S.W.,M.S.W.
• Daylene Marshall
• Emily M Marsick, CAGS LMHC
• Jennifer Lynn Martin, MPT

• Periodontics in Westborough, MA
• Providers in Westborough, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.