Mehdi Rahmatpour LLC, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19757 Issued in MA

Practice address

79 Meridian St
East Boston, MA 02128-1959

Phone

(617) 567-8882

Fax

(617) 567-5454

NPI assigned

Mar 28, 2007

Last updated

Sep 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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.

• Mehdi Rahmatpour DMD LLC

  dba Smile Dental Of revere Beach

  • Public Health Dentistry
  • Revere, MA
  • NPI 1194597245
  NPD
• East Boston Family Dental Center

  • General Practice Dentistry
  • East Boston, MA
  • NPI 1972735793
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1902925530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CEDAR ST",
            "address_2": "APT 401",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024813597",
            "telephone_number": "617-686-2226",
            "fax_number": "617-567-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MERIDIAN ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281959",
            "telephone_number": "617-567-8882",
            "fax_number": "617-567-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMATPOUR LLC",
        "first_name": "MEHDI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Joy Pullig
• Cynthia L Puls, RN
• Stephanie N Quamo, M.D.
• Quest Diagnostics Massachusetts LLC
• Quest Diagnostics Massachusetts LLC
• Kit Lussier Rainboth, LICSW
• Yamini Ramakrishna, M.D.
• Daniela C Ramirez-Schrempp, M.D.
• Patricia Ramos-Lazo, RPH
• Emily Padget Randall, LICSW

• General Practice Dentistry in East Boston, MA
• Providers in East Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.