Individual provider Active NPI

Touradj Mostafa Ameli, D.M.D.

  • Prosthodontics
  • Wellesley, MA
National Provider Identifier
1497196570
Registry record updated Sep 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN18725 Issued in MA
Practice address
180 Linden St
3TH Floor Suite 8C
Wellesley, MA 02482-7924
Phone
(781) 237-1190
NPI assigned
Jul 17, 2013
Last updated
Sep 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DN18725 MA Primary

Addresses

Primary practice location

180 Linden St
3TH Floor Suite 8C
Wellesley, MA 02482-7924

Mailing address

180 Linden St
3Rd Floor Suite 8C
Wellesley, MA 02482-7924
Phone (781) 237-1190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN18725MAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410048000000",
    "number": "1497196570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 LINDEN ST",
            "address_2": "3RD FLOOR SUITE 8C",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827924",
            "telephone_number": "781-237-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 LINDEN ST",
            "address_2": "3TH FLOOR SUITE 8C",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827924",
            "telephone_number": "781-237-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMELI",
        "first_name": "TOURADJ",
        "middle_name": "MOSTAFA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2014-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN18725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2014; 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.