Sasha Mohammadi, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN10001040 Issued in MA

Practice address

35 Bedford St Ste 20
Lexington, MA 02420-4440

Phone

(781) 590-6703

NPI assigned

Jun 5, 2018

Reactivated

Aug 15, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1477045334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 W 191ST ST",
            "city": "STILWELL",
            "state": "KS",
            "postal_code": "660858889",
            "telephone_number": "913-220-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEDFORD ST STE 20",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204440",
            "telephone_number": "781-590-6703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Elm St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016092545",
            "country_code": "US",
            "telephone_number": "508-217-9514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 Baker Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017422189",
            "country_code": "US",
            "telephone_number": "978-230-0650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMADI",
        "first_name": "SASHA",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "deactivation_date": "2023-08-02",
        "reactivation_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NH",
            "license": "05253",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401418626",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS044461",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN10001040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MLC Pathology, Inc.
• Kathleen Modderno, LICSW
• Shelley Elaine Moeller, LICSW
• Kasey Moffat, FNP
• Debra Dianne Martin Moffitt, M.ED. BCBA
• Kiana Molina
• Molly Mayerson, Licsw
• Elena Korina Molokotos, PHD
• Aarani Montanari, MS, IBCLC
• Judith R Montes de Oca

• Periodontics in Lexington, MA
• Providers in Lexington, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.