Reem Mahjoub, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1001476-15 Issued in WI

Practice address

1300 W Lincoln Ave
Milwaukee, WI 53215-3127

Phone

(414) 377-3808

NPI assigned

Apr 25, 2016

Sex

Female

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 IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• True Dental Medpoint, LLC

  • Dental Clinic/Center
  • Milwaukee, WI
  • NPI 1417633132
  NPD Authorized official
• True Dental West Allis LLC

  • General Practice Dentistry
  • West Allis, WI
  • NPI 1972327435
  NPD Authorized official
• True Dental LLC

  • Dentist
  • Milwaukee, WI
  • NPI 1275122749
  NPD (past) Authorized official

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1477908648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6828 WANDAWEGA CIR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530928514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W LINCOLN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153127",
            "telephone_number": "414-377-3808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5542 W Fond Du Lac Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532161200",
            "country_code": "US",
            "telephone_number": "414-930-4129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHJOUB",
        "first_name": "REEM",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001476-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Bauer Maher, M.D.
• Shweta Mahesh, MD
• Mohit Maheshwari, M.D.
• Amarpreet Mahil, MD
• Alisa Lara Mahinay, PHARMD
• Sandra Kathleen Mahkorn, M.D.
• James Christopher Mahlan, LPC
• Brittany Mahlberg, MS, LPC-IT, QTT
• Abigail Mahler, MD
• Jazmine S Mahler

• General Practice Dentistry in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.