Maryam Moghtader, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1858667 Issued in MA

Practice address

480 Boston Rd Unit 114
Billerica, MA 01821-2707

Phone

(978) 330-3400

NPI assigned

Jun 18, 2020

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

Practice roles

Locations

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

• Springfield Family Dental PC

  • Dental Clinic/Center
  • Billerica, MA
  • NPI 1588388623
  NPD

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1124644844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HARRINGTON RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017012642",
            "telephone_number": "860-978-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 BOSTON RD UNIT 114",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018212707",
            "telephone_number": "978-330-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHTADER",
        "first_name": "MARYAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Meyer
• Ronald Louis Michaud, PHD
• Debra Jane Miller, BS/RN-BC
• Benedicta Mills
• MJ Smiles PC
• Stephanie Molina
• Moss Behavioral Health Treatment, Inc.
• Yun-Pu Munroe
• Tabitha J Murari, DMD
• Grace L Muritu, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.