Active NPI
Ami Mahendra Maru, DMD
- Pediatric Dentistry
- Belmont, MA
National Provider Identifier
1891013116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN1858894
- Practice address
- 11 Alexander Ave
Belmont, MA 02478-4802 - Phone
- (617) 484-3838
- NPI assigned
- May 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN1858894 | MA | Primary |
Addresses
Primary practice location
11 Alexander Ave
Belmont, MA 02478-4802
Mailing address
14 Soldiers Field Park
#14B
Boston, MA 02163
Phone (270) 315-2858
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858894 | MA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R. Ciccarelli, DDS., R. Joseph, DDS., M. El Farra, DDS., D. Saini, DDS | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Manteca, CA
- NPI 1891853149
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1891013116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SOLDIERS FIELD PARK",
"address_2": "#14B",
"city": "BOSTON",
"state": "MA",
"postal_code": "02163",
"telephone_number": "270-315-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 ALEXANDER AVE",
"city": "BELMONT",
"state": "MA",
"postal_code": "024784802",
"telephone_number": "617-484-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARU",
"first_name": "AMI",
"middle_name": "MAHENDRA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-11",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "DN1858894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.