NPIMap

Organization Active NPI

Mahine Mahajeri DDS PC

  • Dentist
  • Dearborn, MI
National Provider Identifier
1275665192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901014630 Issued in MI
Legal business name
MAHINE MAHAJERI DDS PC
Practice address
6325 Chase Rd
Suite a
Dearborn, MI 48126
Phone
(313) 584-6530
Fax
(313) 357-6531
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mahine Mahajeri, DDS MSNPI 1518035864
Title
Dentist
Phone
(313) 584-6530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901014630 MI Primary

Addresses

Primary practice location

6325 Chase Rd
Suite a
Dearborn, MI 48126

Mailing address

6325 Chase Rd
Suite a
Dearborn, MI 48126
Phone (313) 584-6530

National Provider Directory

National Provider Directory

Locations

6325 Chase Rd
Ste A
Dearborn, MI 48126
Phone (313) 584-6530

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275665192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 CHASE RD",
            "address_2": "SUITE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-584-6530",
            "fax_number": "313-357-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 CHASE RD",
            "address_2": "SUITE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-584-6530",
            "fax_number": "313-357-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHINE MAHAJERI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHAJERI",
        "authorized_official_first_name": "MAHINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-584-6530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901014630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.