Individual provider Active NPI

Mehdi Karimipour-Saryazdi, D.M.D

  • Prosthodontics
  • Londonderry, NH
National Provider Identifier
1326360652
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
04128 Issued in NH
Practice address
25 Buttrick Rd Ste C1
Londonderry, NH 03053-3353
Phone
(603) 965-3407
NPI assigned
Mar 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 04128 NH Primary

Addresses

Primary practice location

25 Buttrick Rd Ste C1
Londonderry, NH 03053-3353

Mailing address

25 Buttrick Rd Ste C1
Londonderry, NH 03053-3353
Phone (603) 965-3407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20121113000176 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2163673575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04128NHMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Karimipour DMD PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1326360652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BUTTRICK RD STE C1",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533353",
            "telephone_number": "603-965-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BUTTRICK RD STE C1",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533353",
            "telephone_number": "603-965-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIMIPOUR-SARYAZDI",
        "first_name": "MEHDI",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-01",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NH",
            "license": "04128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.