Active NPI
Abu Baker Obaid Mahmood
- General Practice Dentistry
- Springfield, MA
National Provider Identifier
1932580719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 011506
- Practice address
- 1049 Main St.
Springfield, MA 01103 - Phone
- (413) 739-1100
- NPI assigned
- Jun 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | DN1856864 | MA | |
| General Practice Dentistry | 1223G0001X | 011506 | CT | Primary |
Addresses
Primary practice location
1049 Main St.
Springfield, MA 01103
Mailing address
1049 Main St.
Springfield, MA 01103
Phone (413) 739-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1856864 | MA | MD | Public Health Dentist |
| 011506 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1932580719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 MAIN ST.",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01103",
"telephone_number": "413-739-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 MAIN ST.",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01103",
"telephone_number": "413-739-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOOD",
"first_name": "ABU BAKER",
"middle_name": "OBAID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-17",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "MA",
"license": "DN1856864",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "011506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.