Individual provider Active NPI

Heidar Zohrehei

  • Endodontics
  • Lowell, MA
National Provider Identifier
1407365703
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN1857763 Issued in MA
Practice address
10 George St Ste 300
Lowell, MA 01852-2293
Phone
(978) 954-0707
NPI assigned
Sep 29, 2017
Last updated
Mar 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1857763 MA
Endodontics 1223E0200X DN1857763 MA Primary

Addresses

Primary practice location

10 George St Ste 300
Lowell, MA 01852-2293

Mailing address

9 Amberwood Dr
Winchester, MA 01890-2201
Phone (978) 483-1565

Other practice location 1

1200 Brighton Ave
Portland, ME 04102-1029
Phone (207) 773-2150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180328001940 MA Order and Referring Only - DentistPractitioner - Dentist 5092077289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1857763MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegre Dental Center Dentist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774656000000",
    "number": "1407365703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 AMBERWOOD DR",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902201",
            "telephone_number": "978-483-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GEORGE ST STE 300",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522293",
            "telephone_number": "978-954-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Brighton Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041021029",
            "country_code": "US",
            "telephone_number": "207-773-2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOHREHEI",
        "first_name": "HEIDAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-29",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857763",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "DN1857763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.