Prana Eshaghi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1858155 Issued in MA

Practice address

24 Leslie Rd
Auburndale, MA 02466-2923

Phone

(617) 955-1589

NPI assigned

Nov 18, 2018

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 names 1

• Seyede Mahdieh Eshaghi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542499200000",
    "number": "1679042758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LESLIE RD",
            "city": "AUBURNDALE",
            "state": "MA",
            "postal_code": "024662923",
            "telephone_number": "617-955-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LESLIE RD",
            "city": "AUBURNDALE",
            "state": "MA",
            "postal_code": "024662923",
            "telephone_number": "617-955-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHAGHI",
        "first_name": "PRANA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-18",
        "last_updated": "2018-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEYEDE MAHDIEH",
            "last_name": "ESHAGHI",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Dentist in Auburndale, MA
• Providers in Auburndale, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2018; 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.