Mina Hojabr Kalali, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3374 Issued in NH

Practice address

78 Northeastern Blvd
Suite 6
Nashua, NH 03062

Phone

(603) 880-5002

Fax

(603) 880-1877

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeastern Pediatric Dental

  • Pediatric Dentistry
  • Nashua, NH
  • NPI 1326216680
  NPD (past) Authorized official
• Simply Pediatric Dentistry and Orthodontics Nashua PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Nashua, NH
  • NPI 1013567775

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205962396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 NORTHEASTERN BLVD",
            "address_2": "SUITE 6",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03062",
            "telephone_number": "603-880-5002",
            "fax_number": "603-880-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 NORTHEASTERN BLVD",
            "address_2": "SUITE 6",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03062",
            "telephone_number": "603-880-5002",
            "fax_number": "603-880-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALALI",
        "first_name": "MINA",
        "middle_name": "HOJABR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NH",
            "license": "3374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30303168",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Juonis
• Derek T Jurus, D.O.
• Benoit Kabamba, MS
• Michael Robert Kaczanowski, M.D.
• Carissa J Kajenski, APRN, PMHNP-BC
• Kalil & Kress, P.a.
• Donna L. Kalil, DMD
• Michelle Kalil, DMD
• Yamikani Lennie Kaliphee
• Sima Isis Kalogaropoulos

• Pediatric Dentistry in Nashua, NH
• Providers in Nashua, NH by specialty
• Pediatric Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.