Active NPI
Sabah Ahmed Mekki Mahadi, DMD
- Dentist
- Randolph, MA
National Provider Identifier
1205120276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1855682
- Practice address
- 950 N Main St
Randolph, MA 02368-3064 - Phone
- (781) 963-2222
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1855682 | MA | Primary |
Addresses
Primary practice location
950 N Main St
Randolph, MA 02368-3064
Mailing address
504 Sherman St Apt 19
Canton, MA 02021-2558
Phone (971) 570-4196
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150513001817 | MA | Order and Referring Only - Dentist | 3971823014 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1205120276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 SHERMAN ST APT 19",
"city": "CANTON",
"state": "MA",
"postal_code": "020212558",
"telephone_number": "971-570-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N MAIN ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023683064",
"telephone_number": "781-963-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEKKI MAHADI",
"first_name": "SABAH",
"middle_name": "AHMED",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1855682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.