Mehrnaz Maghsoudloo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21490 Issued in MA

Practice address

21 George St
Suiteg04
Lowell, MA 01852-2228

Phone

(978) 453-8610

Fax

(978) 453-6633

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1598880767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GEORGE ST",
            "address_2": "SUITEG04",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01852",
            "telephone_number": "978-453-8610",
            "fax_number": "978-453-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GEORGE ST",
            "address_2": "SUITEG04",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522228",
            "telephone_number": "978-453-8610",
            "fax_number": "978-453-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGHSOUDLOO",
        "first_name": "MEHRNAZ",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0267624",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Madden
• Madelenie Madelon
• Debra L Madera, LMHC
• Carlos A Madrid Jr., M.D.
• Maryam Maghsoudloo
• Jessica Barbara Maginnis
• Jennifer Magowan
• Francis Paul Magro, M.D.
• Andrew Maher
• Kathleen Collins Maher, RN

• General Practice Dentistry in Lowell, MA
• Providers in Lowell, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.