Individual provider Active NPI

Hala Mahmod, DMD

  • Dentist
  • Salem, NH
National Provider Identifier
1811391527
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856752 Issued in MA
Practice address
4 Lancelot CT Apt 15
Salem, NH 03079-3529
Phone
(603) 264-1748
NPI assigned
Oct 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856752 MA Primary

Addresses

Primary practice location

4 Lancelot CT Apt 15
Salem, NH 03079-3529

Mailing address

4 Lancelot CT Apt 15
Salem, NH 03079-3529
Phone (603) 264-1748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20160325000247 NH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951608538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856752MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1811391527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LANCELOT CT APT 15",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793529",
            "telephone_number": "603-264-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LANCELOT CT APT 15",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793529",
            "telephone_number": "603-264-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOD",
        "first_name": "HALA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.