Individual provider Active NPI

Imran Mohammed Ahson, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Danvers, MA
National Provider Identifier
1124255575
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN1858377 Issued in MA
Practice address
80 Lindall St Ste 8
Danvers, MA 01923-2135
Phone
(978) 777-0505
NPI assigned
Jun 12, 2009
Last updated
Jul 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 04503 NH
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN1858377 MA Primary

Addresses

Primary practice location

80 Lindall St Ste 8
Danvers, MA 01923-2135

Mailing address

33 Trafalgar SQ Ste 201
Nashua, NH 03063-4901
Phone (603) 595-8889

Other practice location 1

29 Stiles Rd Ste 202
Salem, NH 03079-5802
Phone (603) 890-1000 ext. 60359

Other practice location 2

33 Trafalgar Sq Ste 201
Nashua, NH 03063-4901
Phone (603) 595-8889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 29, 2025 through Sep 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04503NHMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Nhoms, PLLC Oral and Maxillofacial Surgery CurrentSince Feb 25, 2024 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Jacksonville Emergency Dental, P.a. Past Accepting new patients
Peabody Danvers Oral Surgery, PLLC Oral and Maxillofacial Surgery PastSince Oct 13, 2019 Accepting new patients

Locations

80 Lindall St
Ste 8
Danvers, MA 01923
Phone (978) 777-0505

33 Trafalgar Sq
Ste 201
Nashua, NH 03063
Phone (603) 595-8889

Interoperability endpoints

  • Direct secure messaging: iahson29392@tuftsmedicine.direct-ci.com
  • Direct secure messaging: imran.ahson@direct.christhospital.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1124255575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 TRAFALGAR SQ STE 201",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634901",
            "telephone_number": "603-595-8889",
            "fax_number": "603-595-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LINDALL ST STE 8",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232135",
            "telephone_number": "978-777-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Stiles Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030795802",
            "country_code": "US",
            "telephone_number": "603-890-1000 x60359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Trafalgar Sq Ste 201",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030634901",
            "country_code": "US",
            "telephone_number": "603-595-8889",
            "fax_number": "603-595-2027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHSON",
        "first_name": "IMRAN",
        "middle_name": "MOHAMMED",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "04503",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1858377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.