Robert Mehanna, DMD CAGS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

20240 Issued in MA

Practice address

955 Main St Suite 203
Winchester, MA 01890

Phone

(781) 729-9390

Fax

(781) 729-6792

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Winchester Periodontiocs & Implantology

  • Periodontics
  • Winchester, MA
  • NPI 1235388505
  NPD (past) Authorized official
• Winchester Periodontics,PC

  • Periodontics
  • Winchester, MA
  • NPI 1437346046
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750489431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MAIN ST SUITE 203",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "01890",
            "telephone_number": "781-729-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST SUITE 203",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "01890",
            "telephone_number": "781-729-9390",
            "fax_number": "781-729-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHANNA",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD CAGS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "20240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison McLaughlin
• Karen Anne McLeavey, R.N. CNP
• Kim McNamara, LICSW
• Med Win Inc (Winchester Pharmacy)
• Medford OBGYN Associates Inc
• Joseph Mercurio, ACNPC-AG
• Barbara A Messineo, M.D.
• Michael C Zaslow, M.D. P.C.
• Michael W. Marcus, M.D., P.C.
• Middlesex Advanced Cosmetic Dentistry, LLC

• Periodontics in Winchester, MA
• Providers in Winchester, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.