NPIMap

Organization Active NPI

Mehrnaz Maghsoudloo

  • General Practice Dentistry
  • Lowell, MA
National Provider Identifier
1811163413
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21490 Issued in MA
Legal business name
MEHRNAZ MAGHSOUDLOO
Practice address
21 George St
Suite G04
Lowell, MA 01852-2228
Phone
(978) 453-8610
NPI assigned
May 2, 2008
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Mehrnaz Maghsoudloo, D. M. D.NPI 1598880767
Title
Owner
Phone
(978) 453-8610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21490 MA Primary

Addresses

Primary practice location

21 George St
Suite G04
Lowell, MA 01852-2228

Mailing address

21 George St
Suite G04
Lowell, MA 01852-2228
Phone (978) 453-8610

National Provider Directory

National Provider Directory

Locations

21 George St
Ste G04
Lowell, MA 01852
Phone (978) 453-8610

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1811163413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GEORGE ST",
            "address_2": "SUITE G04",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522228",
            "telephone_number": "978-453-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GEORGE ST",
            "address_2": "SUITE G04",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522228",
            "telephone_number": "978-453-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRNAZ MAGHSOUDLOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "MAGHSOUDLOO",
        "authorized_official_first_name": "MEHRNAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-453-8610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. M. D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.