Amro Ehsan Moharem, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35107 Issued in TX

Practice address

888 Washington St Apt 204
Boston, MA 02111-1434

Phone

(857) 300-9906

NPI assigned

Aug 31, 2019

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

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

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

{
    "created_epoch": "1567209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1922656008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 WASHINGTON ST APT 204",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111434",
            "telephone_number": "857-300-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 WASHINGTON ST APT 204",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111434",
            "telephone_number": "857-300-9906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Washington St Apt 204",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111434",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAREM",
        "first_name": "AMRO",
        "middle_name": "EHSAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-31",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarthak Mohanty
• Sharanya Mohanty, M.D.
• Sudipta Mohanty, MD
• Aman Mohapatra
• Amir Mohareb
• Jahan Mohebali, M.D.
• Salwa Mohiuddin, MHSC., CCC-SLP
• Haley Anne Mohr
• Namita Seth Mohta
• Aryana Mohtasham Gharagozloo, MD

• General Practice Dentistry in Boston, MA
• Providers in 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 Aug 31, 2019; 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.