NPIMap

Individual provider Active NPI

Mona Daneshi, DDS

  • Pediatric Dentistry
  • Lowell, MA
National Provider Identifier
1639465396
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN1856191 Issued in MA
Practice address
33 Bartlett St
Suite 501
Lowell, MA 01852-1334
Phone
(978) 425-1496
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1856191MAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
MD Consultants Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Dentistry 1223P0221X DN1856191 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

33 Bartlett St
Suite 501
Lowell, MA 01852-1334

Mailing address

33 Bartlett St
Suite 501
Lowell, MA 01852-1334
Phone (978) 425-1496

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2016.

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1639465396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BARTLETT ST",
            "address_2": "SUITE 501",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521334",
            "telephone_number": "978-425-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BARTLETT ST",
            "address_2": "SUITE 501",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521334",
            "telephone_number": "978-425-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHI",
        "first_name": "MONA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1856191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.