Organization Active NPI

Amir Mohsen Mahoozi DMD, PC

  • Health Maintenance Organization
  • Boston, MA
National Provider Identifier
1376900050
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
DN19312 Issued in MA
Legal business name
AMIR MOHSEN MAHOOZI DMD, PC
Practice address
388 Commonwealth Ave
Unit B-1
Boston, MA 02215-2800
Phone
(617) 859-8000
Fax
(671) 859-8001
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Dr. Amir Mohsen Mahoozi, DMD, CAGS
Title
Owner-Provider
Phone
(617) 970-3682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X DN19312 MA Primary

Addresses

Primary practice location

388 Commonwealth Ave
Unit B-1
Boston, MA 02215-2800

Mailing address

388 Commonwealth Ave
Unit B-1
Boston, MA 02215-2800
Phone (617) 859-8000

National Provider Directory

National Provider Directory

Locations

388 Commonwealth Ave
Unit B1
Boston, MA 02215
Phone (617) 859-8000

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1376900050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 COMMONWEALTH AVE",
            "address_2": "UNIT B-1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152800",
            "telephone_number": "617-859-8000",
            "fax_number": "671-859-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 COMMONWEALTH AVE",
            "address_2": "UNIT B-1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152800",
            "telephone_number": "617-859-8000",
            "fax_number": "671-859-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR MOHSEN MAHOOZI DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "MAHOOZI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "MOHSEN",
        "authorized_official_title_or_position": "OWNER-PROVIDER",
        "authorized_official_telephone_number": "617-970-3682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, CAGS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MA",
            "license": "DN19312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.