Active NPI
Massoud Tehranian-Torghabeh, DDS
- Dentist
- Alamogordo, NM
National Provider Identifier
1518186402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 45779
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45779 | Other | CA | DDS 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240823002079 | NM | Order and Referring Only - Dentist | 7517406481 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45779 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidskare P.C. | Past | 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.
-
- General Practice Dentistry
- Las Cruces, NM
- NPI 1316937964
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.