NPIMap

Organization Active NPI

M Magsoudi DDS PC

  • General Practice Dentistry
  • Romeo, MI
National Provider Identifier
1801923172
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15762 Issued in MI
Legal business name
M MAGSOUDI DDS PC
Practice address
229 North Bailey St
Romeo, MI 48065
Phone
(586) 752-2211
Fax
(586) 752-5974
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Mehrod Magsoudi, DDSNPI 1205958998
Title
President
Phone
(586) 752-2211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15762 MI Primary

Addresses

Primary practice location

229 North Bailey St
Romeo, MI 48065

Mailing address

229 North Bailey St
Romeo, MI 48065
Phone (586) 752-2211

National Provider Directory

National Provider Directory

Locations

229 N Bailey St
Romeo, MI 48065
Phone (586) 752-2211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1801923172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 NORTH BAILEY ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "48065",
            "telephone_number": "586-752-2211",
            "fax_number": "586-752-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 NORTH BAILEY ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "48065",
            "telephone_number": "586-752-2211",
            "fax_number": "586-752-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M MAGSOUDI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MAGSOUDI",
        "authorized_official_first_name": "MEHROD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-752-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.