Javad Mirzai DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JAVAD MIRZAI DMD PLLC

Practice address

49 Cross Street Ext
Gardner, MA 01440-2209

Phone

(617) 877-5884

NPI assigned

Oct 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Javad Mirzai, DMD

Title

Doctor/Owner

Phone

(617) 877-8884

Specialties & licenses 1

Addresses

Tax ID family

Javad Mirzai DMD PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Javad Mirzai DMD PLLC

  • General Practice Dentistry
  • Orange, MA
  • NPI 1134882392
  NPD tax ID
• Javad Mirzai DMD PLLC

  • General Practice Dentistry
  • Athol, MA
  • NPI 1407519663
  NPD tax ID

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1720741069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 W MAIN ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813823",
            "telephone_number": "617-877-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CROSS STREET EXT",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402209",
            "telephone_number": "617-877-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVAD MIRZAI DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "MIRZAI",
        "authorized_official_first_name": "JAVAD",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "617-877-8884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Forrest James
• Kathleen James
• Damian Jaruszewski
• Richard Gerard Jarvis, O.D.
• Theodore Jasnos, PH.D.
• Colleen Jean, DPT
• Jectrol Ms Healthcare Services
• Peter Jengo, D.D.S
• Joel Silver
• Chelsea Johnson

• General Practice Dentistry in Gardner, MA
• Providers in Gardner, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.