Mohamad H Nadimi, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

11295 Issued in CT

Practice address

504 Wolcott Rd
Wolcott, CT 06716-2430

Phone

(203) 879-9411

NPI assigned

Sep 26, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nadimi Dental Care LLC

  • Dentist
  • Wolcott, CT
  • NPI 1417455171
  NPD Authorized official

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1417350075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 WOLCOTT RD STE A",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162430",
            "telephone_number": "203-879-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 WOLCOTT RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162430",
            "telephone_number": "203-879-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIMI",
        "first_name": "MOHAMAD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-26",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "11295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adonai Mejia
• David S Mullen, D.P.M.
• Nadimi Dental Care LLC
• Abdollah Nadimi, DDS
• Amir Hossein Nadimi, D.C.
• New England Psychotherapy, LLC
• New England Psychotherapy, LLC
• Cindy Jo Olsen, M.S.
• Devon Rae Oneill, DPT
• Overcoming Life's Obstacles Counseling LLC

• Dentist in Wolcott, CT
• Providers in Wolcott, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.