Individual provider Active NPI

Siddhi Dhirenbhai Mehta, DMD

  • Dentist
  • Chelmsford, MA
National Provider Identifier
1396293916
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857442 Issued in MA
Practice address
65 Drum Hill Rd
Chelmsford, MA 01824-1503
Phone
(603) 932-2377
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 04260 NH
Dentist 122300000X DN1857442 MA Primary

Addresses

Primary practice location

65 Drum Hill Rd
Chelmsford, MA 01824-1503

Mailing address

9 Digital Dr
Apt #303
Nashua, NH 03062-4483
Phone (978) 483-8088

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Chelmsford@myperfectdental.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161029000041 NH Order and Referring Only - Other (Non-Physician) 0446538235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1857442MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Doshi DMD PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chelmsford@myperfectdental.com

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1396293916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DIGITAL DR",
            "address_2": "APT #303",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030624483",
            "telephone_number": "978-483-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DRUM HILL RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241503",
            "telephone_number": "603-932-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SIDDHI",
        "middle_name": "DHIRENBHAI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04260",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chelmsford@myperfectdental.com",
            "affiliation": "N",
            "address_1": "65 Drum Hill Rd",
            "city": "Chelmsford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018241503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.