Islam Mohammad Dehis, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

010983 Issued in CT

Practice address

205 Bay Dr
Northborough, MA 01532-3102

Phone

(631) 922-4444

NPI assigned

Oct 3, 2006

Last updated

Sep 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ai Dental

  dba Whitin Your Smile

  • General Practice Dentistry
  • Whitinsville, MA
  • NPI 1104475532
  NPD Authorized official
• D. H. Dental PC

  • Dental Clinic/Center
  • Fitchburg, MA
  • NPI 1780043745
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1942394911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BAY DR",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015323102",
            "telephone_number": "631-922-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BAY DR",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015323102",
            "telephone_number": "631-922-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHIS",
        "first_name": "ISLAM",
        "middle_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053317",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "1856553",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "010983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S Wald DMD
• Shannon J Davidenko, LMHC
• Alicia Wells Day, BCBA, LABA
• Cynthia De Sousa, RN
• Albert Wallace Deckel, PHD
• Olivia Marie Demers, DPT
• Dental Solutions of Northboro
• Ummesalma Dhariwala
• Diamond Livery, LLC
• Jennifer K Dibenedetto, PHD, APRN, FNP-C

• Dentist in Northborough, MA
• Providers in Northborough, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.