Ali Mashayekhi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

20161 Issued in MA

Practice address

0 Governors Ave
Suite #23
Medford, MA 02155-3025

Phone

(781) 350-5578

NPI assigned

Jan 12, 2007

Last updated

Oct 25, 2012By the provider in NPPES

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 MA

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ali Mashayekhi DMD Family Dentistry PC

  • Dental Clinic/Center
  • Medford, MA
  • NPI 1740941426
  NPD Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1700936432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 MAGOUN AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554854",
            "telephone_number": "781-391-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0 GOVERNORS AVE",
            "address_2": "SUITE #23",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553025",
            "telephone_number": "781-350-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHAYEKHI",
        "first_name": "ALI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "20161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0219461",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Maroney, MOT, OTR/L
• Eric Marriott
• Mary Vindice Marshall, CNC
• Karen Martinez
• Sofia Martins
• Mass General Brigham Community Physicians Inc
• Mass General Brigham Urgent Care LLC
• Britney Masse
• Alice Verity Mathews, MSW
• Joan Matteuzzi, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.