Individual provider Active NPI

Massoud Tehranian-Torghabeh, DDS

  • Dentist
  • Alamogordo, NM
National Provider Identifier
1518186402
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45779 Issued in CA
Practice address
1713 10TH St Ste a
Alamogordo, NM 88310-5027
Phone
(575) 439-5439
Fax
(575) 439-0162
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45779 CA Primary

Addresses

Primary practice location

1713 10TH St Ste a
Alamogordo, NM 88310-5027

Mailing address

2910 Los Padillas Rd SW
Albuquerque, NM 87121-7243
Phone (925) 989-6706

Other identifiers 1

IdentifierTypeStateIssuer
45779OtherCADDS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20240823002079 NM Order and Referring Only - DentistPractitioner - Dentist 7517406481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45779CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidskare P.C. PastSince Aug 11, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1518186402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 LOS PADILLAS RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871217243",
            "telephone_number": "925-989-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 10TH ST STE A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105027",
            "telephone_number": "575-439-5439",
            "fax_number": "575-439-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHRANIAN-TORGHABEH",
        "first_name": "MASSOUD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDS LICENSE",
            "identifier": "45779",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.