Mahmoud Ahmad, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58187 Issued in CA

Practice address

2721 W Florida Ave
Hemet, CA 92545-4616

Phone

(951) 925-2226

NPI assigned

Feb 14, 2006

Last updated

Apr 22, 2019By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• Ahmad Dental Coporation

  dba Smile Shop

  • Dental Clinic/Center
  • Hemet, CA
  • NPI 1639735178
  NPD (past) Authorized official

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1316911662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925454616",
            "telephone_number": "951-925-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925454616",
            "telephone_number": "951-925-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 E Main Street",
            "address_purpose": "LOCATION",
            "city": "Blooming Prairie",
            "state": "MN",
            "postal_code": "55917",
            "country_code": "US",
            "telephone_number": "507-583-2141",
            "fax_number": "507-583-7574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "MAHMOUD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11891",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE NUMBER",
            "identifier": "540689700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Irene Aguilar, FNP-C
• Prisila Aguilar
• Alana Aguirre
• Mario A Aguirre
• Ahmad Dental Coporation (Smile Shop)
• Alberto Ahumada III
• Brenda Lee Airo-Dyer
• Cheryl Aitkins, CAADE
• Ajeet R Singhvi (Valley Endoscopy Center)
• Enikarina Akamande

• General Practice Dentistry in Hemet, CA
• Providers in Hemet, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.