Malik Mahmood

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.027687 Issued in OH

Practice address

5735 Meeker Rd
Greenville, OH 45331-1186

Phone

(937) 547-2326

NPI assigned

May 11, 2022

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Health Services of Darke County, Inc.

  • Federally Qualified Health Center (FQHC)
  • Versailles, OH
  • NPI 1013244680
  Medicare reassignment
• Family Health Services of Darke County Inc

  • Student Health Clinic/Center
  • New Madison, OH
  • NPI 1477244275
  NPD
• Family Health Services of Darke County, Inc.

  • Primary Care Clinic/Center
  • Greenville, OH
  • NPI 1588991418
  NPD
• Family Health Services of Darke County, Inc.

  • Primary Care Clinic/Center
  • Greenville, OH
  • NPI 1750106522
  NPD
• Family Tree Dental D Austin Rehl DDS and Peter E Lovejoy DDS LLC

  dba Family Tree Dental Outreach

  • General Practice Dentistry
  • Marietta, OH
  • NPI 1124429212
  NPD (past)

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1255077210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 MEEKER RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311186",
            "telephone_number": "937-547-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 MEEKER RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311186",
            "telephone_number": "937-547-2326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Acme St",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503306",
            "country_code": "US",
            "telephone_number": "740-373-3136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "MALIK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Elizabeth Loy, RN
• Mindy K Luster
• Kim J Lyons, D.C., N.D.
• Lindsay Sue Mackenzie
• Michael Robert Maher, DPM
• Emily Mahran
• Lewis A Mahran, DO
• Briana Makombe
• Jadyn Leigh Mangen, DO
• Robin R. Manning, R.N.

• General Practice Dentistry in Greenville, OH
• Providers in Greenville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.

Verify at the official NPI Registry.