Active NPI
Mohammad Almutairi, DDS
- Dentist
- Boston, MA
National Provider Identifier
1992447700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859548
- Practice address
- Harvard Dental Center
188 Longwood Ave.
Boston, MA 02155 - Phone
- (617) 432-1434
- NPI assigned
- Apr 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1859548 | MA | Primary |
Addresses
Primary practice location
Harvard Dental Center
188 Longwood Ave.
Boston, MA 02155
Mailing address
2815 S Hoover St Apt 205
Los Angeles, CA 90007-2447
Phone (310) 425-8108
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 |
|---|---|---|---|
| DN1859548 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1992447700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 S HOOVER ST APT 205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900072447",
"telephone_number": "310-425-8108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HARVARD DENTAL CENTER",
"address_2": "188 LONGWOOD AVE.",
"city": "BOSTON",
"state": "MA",
"postal_code": "02155",
"telephone_number": "617-432-1434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALMUTAIRI",
"first_name": "MOHAMMAD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-12",
"last_updated": "2022-09-14",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.