Kimberly Ann Mahood, D.M.D., M.S.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

57270 Issued in CA

Practice address

2245 Montgomery Dr
Santa Rosa, CA 95405-4900

Phone

(707) 575-0600

NPI assigned

Feb 25, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1073810107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 NEW MONTGOMERY ST",
            "address_2": "UNIT 902",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053802",
            "telephone_number": "415-971-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054900",
            "telephone_number": "707-575-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHOOD",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "D.M.D., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "57270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Maguire, RASI
• Allison Michelle Magyar, MSN, APRN, FNP-BC
• Devon Maher
• Kembly Astua Mahiri, LCSW
• Ara Mahmoudi, PHARMD, RPH
• Kimberly Mahr
• Lilian Lili Mai
• Mervin Maier, M.F.T
• Paul Louis Maillard, PT
• Juan Maillo, LMFT #103938

• Orthodontics and Dentofacial Orthopedics Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.