Active NPI
Mohini Shindedmd PLLC
- Dental Clinic/Center
- Westborough, MA
National Provider Identifier
1134636244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MOHINI SHINDEDMD PLLC
- Practice address
- 57 E Main St Ste 142
Westborough, MA 01581-1464 - Phone
- (508) 366-2210
- NPI assigned
- Jan 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohini Shinde
- Title
- DMD
- Phone
- (407) 921-4907
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
57 E Main St Ste 142
Westborough, MA 01581-1464
Mailing address
57 E Main St Ste 142
Westborough, MA 01581-1464
Phone (508) 366-2210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251231002178 | MA | DME Supplier - Oral Surgery - Dentist | 7113413915 | Practice locations: Westborough, MA |
National Provider Directory
National Provider DirectoryLocations
57 E Main St
Ste 142
Westborough, MA 01581
Phone (508) 366-2210
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Westborough, MA
- NPI 1669812483
-
- General Practice Dentistry
- Westborough, MA
- NPI 1518025311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724284800000",
"number": "1134636244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 E MAIN ST STE 142",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811464",
"telephone_number": "508-366-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 E MAIN ST STE 142",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811464",
"telephone_number": "508-366-2210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHINI SHINDEDMD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-10",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A",
"authorized_official_last_name": "SHINDE",
"authorized_official_first_name": "MOHINI",
"authorized_official_title_or_position": "DMD",
"authorized_official_telephone_number": "407-921-4907"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.