Daniel B Moheban, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

20965 Issued in MA

Practice address

200 Lincoln St
Suite 5
Worcester, MA 01605-2528

Phone

(508) 756-6264

Fax

(508) 756-6490

NPI assigned

Jul 26, 2006

Last updated

Jun 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daniel Moheban DMD PC

  • Health Maintenance Organization
  • Worcester, MA
  • NPI 1114247301
  Authorized official Same address or phone
• Children's Orthodontics of Worcester

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Worcester, MA
  • NPI 1841639382
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1891718961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LINCOLN ST",
            "address_2": "SUITE 5",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052528",
            "telephone_number": "508-756-6264",
            "fax_number": "508-756-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LINCOLN ST",
            "address_2": "SUITE 5",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052528",
            "telephone_number": "508-756-6264",
            "fax_number": "508-756-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHEBAN",
        "first_name": "DANIEL",
        "middle_name": "B",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "20965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raghav Mohan, MBBS
• Mugdha Mohanty, M.D.
• Sambit Mohanty, M.D.
• Mohanvirani PLLC
• Shrusty Mohapatra, M.D.
• Joy Mohnot
• Rohini Moholkar, PT
• Tracey Mohr, PSYD
• Hajir Moin, BDS, MDS
• Joseph J. Moisan, PA-C

• Pediatric Dentistry in Worcester, MA
• Providers in Worcester, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.