Javad Mirzai

Primary specialty

DentistTaxonomy code 122300000X

License

DN1857584 Issued in MA

Practice address

200 Riverside Ave Unit 318
New Bedford, MA 02746-5441

Phone

(617) 877-5884

NPI assigned

Jul 20, 2017

Sex

Male

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Dental Dreams, LLC

  • General Practice Dentistry
  • New Bedford, MA
  • NPI 1942447289
  NPD (past)

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174046262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVERSIDE AVE UNIT 318",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027465441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RIVERSIDE AVE UNIT 318",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027465441",
            "telephone_number": "617-877-5884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1054 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027454949",
            "country_code": "US",
            "telephone_number": "508-995-0340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZAI",
        "first_name": "JAVAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Soul Holistic Healing
• Regina Celeste Mingola, L.C.S.W.
• Gabriel Miranda
• Niell Magnus Miranda, MSN FNP-BC
• Noemi Miranda
• Jessica M Mitchell, NP
• Stephanie S Mitchell, NP
• Tandra Mitra, M.D.
• Michelle Mlinac, PHD
• Nasser Mohrah, D.M.D

• Dentist in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.