Nadimi Dental Care LLC

Primary specialty

DentistTaxonomy code 122300000X

License

011295 Issued in CT

Legal business name

NADIMI DENTAL CARE LLC

Practice address

504 Wolcott Rd
Wolcott, CT 06716-2430

Phone

(203) 879-9411

Fax

(203) 441-4375

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mohamad Hadi Nadimi, DMDNPI 1417350075

Title

Dentist

Phone

(203) 879-9411

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamad H Nadimi, D.M.D.

  • Dentist
  • Wolcott, CT
  • NPI 1417350075
  NPD Authorized official

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1417455171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 WOLCOTT RD STE 1A",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162430",
            "telephone_number": "203-879-9411",
            "fax_number": "203-441-4375"
        },
        {
            "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",
            "fax_number": "203-441-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADIMI DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "NADIMI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "HADI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "203-879-9411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "011295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417350075",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Elizabeth Matthews, PH.D.
• Deborah McGinn
• Medical Wellness LLC
• Adonai Mejia
• David S Mullen, D.P.M.
• Abdollah Nadimi, DDS
• Amir Hossein Nadimi, D.C.
• Mohamad H Nadimi, D.M.D.
• New England Psychotherapy, LLC
• New England Psychotherapy, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.