Javad Mirzai DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JAVAD MIRZAI DMD PLLC

Practice address

38 Exchange St
Athol, MA 01331-1812

Phone

(617) 877-5884

NPI assigned

Oct 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Javad Mirzai, DMDNPI 1174046262

Title

Doctor/Owner

Phone

(617) 877-5884

Specialties & licenses 1

Addresses

Tax ID family

Javad Mirzai DMD PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Javad Mirzai DMD PLLC

  • General Practice Dentistry
  • Orange, MA
  • NPI 1134882392
  NPD tax ID
• Javad Mirzai DMD PLLC

  • General Practice Dentistry
  • Gardner, MA
  • NPI 1720741069
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Javad Mirzai

  • Dentist
  • New Bedford, MA
  • NPI 1174046262
  Authorized official Same address or phone

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1407519663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 W MAIN ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813823",
            "telephone_number": "617-877-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 EXCHANGE ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013311812",
            "telephone_number": "617-877-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVAD MIRZAI DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "MIRZAI",
        "authorized_official_first_name": "JAVAD",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "617-877-5884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Howard, RPH
• Meghan Elizabeth Hutchins
• Sherri Ingerson
• Cibeles Anai Inoa
• J.O.C., Inc (Pioneer Laundromat)
• Geralyn Elizabeth Johnson, M.A.
• Kelly Elizabeth Johnson
• Charles Jones III
• Jose M. Amparo MD PC
• Dionne Kane

• General Practice Dentistry in Athol, MA
• Providers in Athol, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.