Mehran Massoumi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

8806 Issued in CT

Practice address

80 Shunpike Rd Unit 201
Cromwell, CT 06416-4402

Phone

(860) 635-4666

Fax

(860) 635-3621

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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 and National Provider Directory roles.

• Mehran Massoumi DDS PLLC

  • Dental Clinic/Center
  • Cromwell, CT
  • NPI 1598637282
  NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1730204371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SHUNPIKE RD UNIT 201",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164402",
            "telephone_number": "860-635-4666",
            "fax_number": "860-635-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SHUNPIKE RD UNIT 201",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164402",
            "telephone_number": "860-635-4666",
            "fax_number": "860-635-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOUMI",
        "first_name": "MEHRAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "8806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Marshall
• Kimberly Martin
• Lisa Martin, OTR/L
• Julianna Elizabeth Masamery, OTR/L
• Michele Maskell, RPH
• Chris Mathew
• Allyxandra Mathieu
• Emely Marie Matos
• Shannon Evelyn Matthews, BCBA
• Sophy Mayer, MS

• Dentist in Cromwell, CT
• Providers in Cromwell, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.