Mohamed I Masoud, BDS, DMSC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DL11358 Issued in MA

Practice address

311 Park Ave
Falls Church, VA 22046-3390

Phone

(703) 241-9191

NPI assigned

Feb 23, 2012

Last updated

Sep 25, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1336412246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PARK AVE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463390",
            "telephone_number": "703-241-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PARK AVE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463390",
            "telephone_number": "703-241-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13350 Franklin Farm Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201714095",
            "country_code": "US",
            "telephone_number": "703-241-9191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASOUD",
        "first_name": "MOHAMED",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "BDS, DMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-23",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DL11358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Martino, RN
• Dana Marie Martino
• Rochelle P Mascarenhas, M.D.
• Catherine A Mason, LCSW
• Roslynn Mason, PA
• Ihab Massad
• Anthony Massara, PT, DPT
• Paul S Massimiano, M.D.
• Ryan Lee Mastropaolo, LPTA
• Michael Mastrostefano, PT, OCS, MTC

• Orthodontics and Dentofacial Orthopedics Dentistry in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.