Active NPI
Hamzah Mehmood, DMD
- Dentist
- Lafayette, LA
National Provider Identifier
1962164939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7267
- Practice address
- 5540 Johnston St
Lafayette, LA 70503-5138 - Phone
- (337) 247-7698
- NPI assigned
- Oct 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7267 | LA | |
| Dentist | 122300000X | 7267 | LA | Primary |
Addresses
Primary practice location
5540 Johnston St
Lafayette, LA 70503-5138
Mailing address
211 Liberty Ave Apt 835
Lafayette, LA 70508-6869
Phone (973) 208-4910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231205001094 | KY | Order and Referring Only - Dentist | 3375991144 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7267 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1962164939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 LIBERTY AVE APT 835",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086869",
"telephone_number": "973-208-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5540 JOHNSTON ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705035138",
"telephone_number": "337-247-7698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHMOOD",
"first_name": "HAMZAH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-07",
"last_updated": "2021-10-07",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "7267",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "7267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.