Individual provider Active NPI

Mahmoud Aruri, DMD

  • Dentist
  • Norwalk, CT
National Provider Identifier
1639562887
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
011568 Issued in CT
Practice address
652 Main Ave
Norwalk, CT 06851-1189
Phone
(203) 846-6745
Fax
(203) 846-6756
NPI assigned
Mar 12, 2015
Last updated
Apr 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 011568 CT Primary

Addresses

Primary practice location

652 Main Ave
Norwalk, CT 06851-1189

Mailing address

71 Aiken St
Apt I11
Norwalk, CT 06851-2157

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
011568CTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1639562887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 AIKEN ST",
            "address_2": "APT I11",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068512157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511189",
            "telephone_number": "203-846-6745",
            "fax_number": "203-846-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARURI",
        "first_name": "MAHMOUD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-12",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "011568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.