NPIMap

Organization Active NPI

Mehdi Rahmatpour DMD LLC

  • Public Health Dentistry
  • Revere, MA
National Provider Identifier
1194597245
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
MEHDI RAHMATPOUR DMD LLC
Practice address
199 Shirley Ave
Revere, MA 02151-3258
Phone
(781) 629-6613
Fax
(617) 997-4737
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Mehdi Rahmatpour
Title
Owner
Phone
(617) 567-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

199 Shirley Ave
Revere, MA 02151-3258

Mailing address

199 Shirley Ave
Revere, MA 02151-3258
Phone (781) 629-6613

Other names 1

  • Smile Dental Of revere Beach Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1194597245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SHIRLEY AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513258",
            "telephone_number": "781-629-6613",
            "fax_number": "617-997-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SHIRLEY AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513258",
            "telephone_number": "781-629-6613",
            "fax_number": "617-997-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHDI RAHMATPOUR DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "RAHMATPOUR",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-567-8882"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Dental Of revere Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Revere, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.