Individual provider Active NPI

Mae Sedaghati Languri, DMD

  • Dentist
  • Cookeville, TN
National Provider Identifier
1851801955
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10638 Issued in TN
Practice address
694 S Willow Ave
Cookeville, TN 38501-3882
Phone
(931) 278-6793
Fax
(414) 236-2207
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10638 TN Primary

Addresses

Primary practice location

694 S Willow Ave
Cookeville, TN 38501-3882

Mailing address

955 Melrose Dr
Cookeville, TN 38501-1556
Phone (414) 236-2207

Other names 1

  • Maedeh Sedaghati Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1851801955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MELROSE DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011556",
            "telephone_number": "414-236-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 S WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013882",
            "telephone_number": "931-278-6793",
            "fax_number": "414-236-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGURI",
        "first_name": "MAE",
        "middle_name": "SEDAGHATI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAEDEH",
            "last_name": "SEDAGHATI",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.