Abdollah Nadimi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008495 Issued in CT

Practice address

504 Wolcott Rd Ste a
Wolcott, CT 06716-2430

Phone

(203) 879-9411

Fax

(203) 879-9383

NPI assigned

Sep 7, 2006

Last updated

Feb 16, 2022By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

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 Dental Care LLC

  • Dentist
  • Wolcott, CT
  • NPI 1598810731
  Authorized official Same address or phone

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1306949904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 WOLCOTT RD STE A",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162430",
            "telephone_number": "203-879-9411",
            "fax_number": "203-879-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 WOLCOTT RD STE A",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162430",
            "telephone_number": "203-879-9411",
            "fax_number": "203-879-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIMI",
        "first_name": "ABDOLLAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002084953",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah McGinn
• Medical Wellness LLC
• Adonai Mejia
• David S Mullen, D.P.M.
• Nadimi Dental Care LLC
• Amir Hossein Nadimi, D.C.
• Mohamad H Nadimi, D.M.D.
• New England Psychotherapy, LLC
• New England Psychotherapy, LLC
• Cindy Jo Olsen, M.S.

• General Practice Dentistry in Wolcott, CT
• Providers in Wolcott, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.