Maryam Maghsoudloo

Primary specialty

DentistTaxonomy code 122300000X

License

DN1857773 Issued in MA

Practice address

1201 Bridge St
Lowell, MA 01850-1293

Phone

(978) 455-7056

NPI assigned

Sep 29, 2017

Sex

Female

Sole proprietor

No

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lowell Kids Dentistry

  • Pediatric Dentistry
  • Lowell, MA
  • NPI 1851106785
  NPD Authorized official
• Lowell Dentistry and Braces, PC

  • Dentist
  • Lowell, MA
  • NPI 1881308310
  NPD (past)

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1427567783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 MYSTIC VALLEY PKWY APT 109",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556900",
            "telephone_number": "857-707-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BRIDGE ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018501293",
            "telephone_number": "978-455-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGHSOUDLOO",
        "first_name": "MARYAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Macneil
• Sarah Madden
• Madelenie Madelon
• Debra L Madera, LMHC
• Carlos A Madrid Jr., M.D.
• Mehrnaz Maghsoudloo, DMD
• Jessica Barbara Maginnis
• Jennifer Magowan
• Francis Paul Magro, M.D.
• Andrew Maher

• Dentist in Lowell, MA
• Providers in Lowell, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.