Mohammad Wahedur Rahman, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046388 Issued in NY

Practice address

1749 Grand Concourse
1E
Bronx, NY 10453-8241

Phone

(718) 466-2222

Fax

(718) 466-6555

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Floral Dental Care, PC

  • General Practice Dentistry
  • Floral Park, NY
  • NPI 1710137138
  NPD (past) Authorized official
• Cute Pearls Dental Care PC

  • Preferred Provider Organization
  • Bronx, NY
  • NPI 1902228158
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1700924362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25618 HILLSIDE AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041618",
            "telephone_number": "718-343-5353",
            "fax_number": "718-343-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 GRAND CONCOURSE",
            "address_2": "1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104538241",
            "telephone_number": "718-466-2222",
            "fax_number": "718-466-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "MOHAMMAD",
        "middle_name": "WAHEDUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01645665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ferdousi Rahman, O.T.
• Khalilur Rahman, RPH
• Lubna Rahman, PA-C
• Mahua Rahman, R.PH.
• Mohammad K Rahman
• Mohammad Z Rahman, RPH
• Monia Rahman
• Mustafizur Rahman, MD
• Naema Rahman
• Nazifa Rahman

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.