Marya F Montazeri, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19788 Issued in MA

Practice address

63 Mass Ave
Arlington, MA 02974

Phone

(781) 646-7008

NPI assigned

Dec 31, 2007

Last updated

Dec 31, 2007By the provider in NPPES

Sex

Female

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• New England Family Dental

  • General Practice Dentistry
  • Arlington, MA
  • NPI 1083774079
  NPD (past)

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1922283647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MASS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "02474",
            "telephone_number": "781-646-7008",
            "fax_number": "781-646-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MASS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "02974",
            "telephone_number": "781-646-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAZERI",
        "first_name": "MARYA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul M Miller, PH.D.
• Alexander Millner, PHD
• Yong-Jun Min, LIC. AC.
• Kimberly Lee Miner, FNP
• Melanie J Moisan, LMHC
• Morin F. Montazeri, DMD
• Mooney Therapy Inc
• Moonflower Therapy, LLC
• Patricia Rose Moore, PSYD INACTIVE RN MTC
• Manjot Singh More

• General Practice Dentistry in Arlington, MA
• Providers in Arlington, 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 Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.