Active NPI
Mohamed Habib Ahmed Taha, DDS
- Dentist
- Manchester, NH
National Provider Identifier
1255107850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 05346
- Practice address
- 1111 S Willow St
Manchester, NH 03103-4035 - Phone
- (603) 210-4416
- NPI assigned
- Nov 27, 2023
- Last updated
- Aug 31, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 05346 | NH | Primary |
| Dentist | 122300000X | DL15958 | MA | |
| Dentist | 122300000X | DL16005 | MA |
Addresses
Primary practice location
1111 S Willow St
Manchester, NH 03103-4035
Mailing address
1111 S Willow St
Manchester, NH 03103-4035
Phone (603) 210-4416
Other practice location 1
326 Nichols Rd
Fitchburg, MA 01420-1914
Phone (978) 878-8100
Other practice location 2
1290 Tremont St
Roxbury, MA 02120-3432
Phone (617) 989-3289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL15958 | MA | MD | Dentist |
| DL16005 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1255107850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 S WILLOW ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031034035",
"telephone_number": "603-210-4416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S WILLOW ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031034035",
"telephone_number": "603-210-4416"
}
],
"practiceLocations": [
{
"address_1": "326 Nichols Rd",
"address_purpose": "LOCATION",
"city": "Fitchburg",
"state": "MA",
"postal_code": "014201914",
"country_code": "US",
"telephone_number": "978-878-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1290 Tremont St",
"address_purpose": "LOCATION",
"city": "Roxbury",
"state": "MA",
"postal_code": "021203432",
"country_code": "US",
"telephone_number": "617-989-3289",
"fax_number": "617-989-3125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAHA",
"first_name": "MOHAMED",
"middle_name": "HABIB AHMED",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-27",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "05346",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL15958",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL16005",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.