Gustavo Ernesto Mahn Arteaga, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DF11658 Issued in MA

Practice address

1 Kneeland St
Boston, MA 02111-1527

Phone

(617) 636-0861

NPI assigned

Sep 1, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1902324627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "617-636-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "617-636-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHN ARTEAGA",
        "first_name": "GUSTAVO",
        "middle_name": "ERNESTO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-01",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "151165",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DF11658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taymiah Mahmood, DMD
• Umar Mahmood, MD PHD
• Mahmoud El Hadidy, DMD, PHD, PC
• Raghad Badreldin Mahmoud, DMD
• Malik Mahmud
• Tara Mahon McQuaid, CPNP
• Helen Margaret Mahoney West, RN, MSN, PNP
• Allison Mahoney, M.S., CCC-A
• Anna Kathryn Mahoney
• Barbara Anne Mahoney, RN

• Prosthodontics in Boston, MA
• Providers in Boston, MA by specialty
• Prosthodontics in Massachusetts

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

Verify at the official NPI Registry.