Individual provider Active NPI

Neda Mahjour, DMD

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1982596797
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS045300 Issued in PA
Practice address
1625 Chestnut St Ste 228
Philadelphia, PA 19103-4216
Phone
(215) 336-8399
NPI assigned
Jul 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS045300 PA Primary

Addresses

Primary practice location

1625 Chestnut St Ste 228
Philadelphia, PA 19103-4216

Mailing address

995 Turnberry Cir
Schwenksville, PA 19473-2149
Phone (734) 546-8223

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS045300PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia Dental General Practice CurrentSince Jul 22, 2025 Accepting new patients
Dentex Dental at Liberty LLC General Practice PastSince Jul 22, 2025 Accepting new patients

Locations

1625 Chestnut St
Ste 228
Philadelphia, PA 19103
Phone (215) 336-8399

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1982596797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 TURNBERRY CIR",
            "city": "SCHWENKSVILLE",
            "state": "PA",
            "postal_code": "194732149",
            "telephone_number": "734-546-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 CHESTNUT ST STE 228",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034216",
            "telephone_number": "215-336-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHJOUR",
        "first_name": "NEDA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.