Irshad G Mohammed, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

009755 Issued in CT

Practice address

109 Boston Post Rd
Orange, CT 06477-3235

Phone

(203) 553-9500

NPI assigned

Jul 27, 2007

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

Practice roles

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.

• Aspen Dental of Greater Hartford, PC

  • General Practice Dentistry
  • Bristol, CT
  • NPI 1215154067
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1376733139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773235",
            "telephone_number": "203-553-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773235",
            "telephone_number": "203-553-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1128 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060104752",
            "country_code": "US",
            "telephone_number": "860-585-1716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "IRSHAD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MH Health Care Services, PC (Avangrid Health and Well Being Clinic)
• Milestones Behavioral Services, Inc.
• Fausto Minaya Correa
• Modern Dentistry of Orange (Orange Dental Care)
• Samantha Jade Moffett, RN
• Xiomara S Molina-Perez, MD
• Catherine Mollengarden, BCBA
• Lauren Mollengarden
• Ferdinand J Montegut, MD
• James P Mooney Jr., M.D.

• General Practice Dentistry in Orange, CT
• Providers in Orange, 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 Oct 9, 2018; 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.