Mehran Massoumi DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MEHRAN MASSOUMI DDS PLLC

Practice address

80 Shunpike Rd Unit 201
Cromwell, CT 06416-4402

Phone

(860) 635-4666

NPI assigned

Sep 22, 2025

Organization subpart

No

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

Authorized official

Name

Mehran Massaoumi, DDS

Title

Member PLLC

Phone

(860) 635-4666

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mehran Massoumi, DDS

  • Dentist
  • Cromwell, CT
  • NPI 1730204371
  NPD
• Roman J Fedorciw, DDS

  • Dentist
  • Cromwell, CT
  • NPI 1649395104
  NPD (past)
• Alexa Heller Kolbig

  • General Practice Dentistry
  • Middlebury, CT
  • NPI 1356882559
  NPD (past)

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1598637282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SHUNPIKE RD UNIT 201",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SHUNPIKE RD UNIT 201",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164402",
            "telephone_number": "860-635-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRAN MASSOUMI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "MASSAOUMI",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "MEMBER PLLC",
        "authorized_official_telephone_number": "860-635-4666",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Marie McGugan
• Andrew J McIsaac, DPT
• Abigail McKinney
• Brian McMillian Jr.
• Lauren Meade, PHD
• Joy Mekrut-Suzio
• Aimee Rebecca Mello, MS
• Maulana Marie Melton
• Tiffany Mendez
• Katrina Meni, OTR/L

• Dental Clinic/Center in Cromwell, CT
• Providers in Cromwell, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.