Active NPI
Fnu Mohammed Baseer Ahmed, DMD
- General Practice Dentistry
- Burlington, MA
National Provider Identifier
1992426209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1859629
- Practice address
- 113 Terrace Hall Ave
Burlington, MA 01803-3416 - Phone
- (781) 221-7171
- NPI assigned
- Sep 6, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DN1859629 | MA | Primary |
Addresses
Primary practice location
113 Terrace Hall Ave
Burlington, MA 01803-3416
Mailing address
103 Lexington St
Burlington, MA 01803-4509
Phone (201) 417-8417
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859629 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminous Dentistry LLC | Current | Accepting new patients | |
| Sea Coral Dentistry PC | Current | Accepting new patients |
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.
-
- Dental Clinic/Center
- Wakefield, MA
- NPI 1710692702
-
- Dental Clinic/Center
- Gloucester, MA
- NPI 1114768900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1992426209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 LEXINGTON ST",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034509",
"telephone_number": "201-417-8417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 TERRACE HALL AVE",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018033416",
"telephone_number": "781-221-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMMED BASEER AHMED",
"first_name": "FNU",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-06",
"last_updated": "2023-01-25",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1859629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.