Active NPI
Amir Mohsen Mahoozi DMD, PC
- Health Maintenance Organization
- Boston, MA
National Provider Identifier
1376900050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- DN19312
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.