Individual provider Active NPI

Isha Hooda, DMD

  • General Practice Dentistry
  • Leominster, MA
National Provider Identifier
1528347705
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855775 Issued in MA
Practice address
55 Sack Blvd Unit 5
Leominster, MA 01453-3325
Phone
(978) 466-6800
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1855775 MA Primary

Addresses

Primary practice location

55 Sack Blvd Unit 5
Leominster, MA 01453-3325

Mailing address

55 Sack Blvd Unit 5
Leominster, MA 01453-3325
Phone (978) 466-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20161108001051 MA Order and Referring Only - DentistPractitioner - Dentist 0941589394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1528347705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SACK BLVD UNIT 5",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533325",
            "telephone_number": "978-466-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SACK BLVD UNIT 5",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533325",
            "telephone_number": "978-466-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOODA",
        "first_name": "ISHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.