Active NPI
Nisreen Mahmod, DMD
- Dentist
- Lawrence, MA
National Provider Identifier
1700285780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1856673
- Practice address
- 314 Essex St
Lawrence, MA 01840-1411 - Phone
- (603) 486-1610
- NPI assigned
- Aug 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1856673 | MA | Primary |
Addresses
Primary practice location
314 Essex St
Lawrence, MA 01840-1411
Mailing address
4 Lancelot CT Apt 13
Salem, NH 03079-3529
Phone (603) 486-1610
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1856673 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1700285780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 LANCELOT CT APT 13",
"city": "SALEM",
"state": "NH",
"postal_code": "030793529",
"telephone_number": "603-486-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 ESSEX ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401411",
"telephone_number": "603-486-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOD",
"first_name": "NISREEN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-15",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1856673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.