MEHRAN MASSOUMI (NPI# 1730204371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730204371 |
| Entity Type | Individual |
| Full Name | MEHRAN MASSOUMI |
| Credential | DDS |
| Practice Address |
26 Shunpike Rd Cromwell CT 06416 |
| Practice Telephone | 8606354666 |
| Practice Fax Number | 8606353621 |
| Mailing Telephone | 8606354666 |
| Mailing Fax Number | 8606353621 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8806 | CT | Dental Providers |
| Street Address |
26 SHUNPIKE RD |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023118833 | Gerald Lipton | Psychologist | 26 Shunpike Rd, Cromwell, CT 06416-2442 | 2006-09-22 |
| 1972958858 | M Allgood Aprn Ltd | Nurse Practitioner | 26 Shunpike Rd, Cromwell, CT 06416-2442 | 2016-04-28 |
| 1538560412 | Esha Bhardwaj | Nurse Practitioner | 26 Shunpike Rd, Cromwell, CT 06416 | 2014-09-10 |
| 1457577082 | Donald R. Drouin | Dentist | 26 Shunpike Rd, Cromwell, CT 06416-2442 | 2007-04-18 |
| 1740406891 | David Joseph Ridolfi | Dentist | 26 Shunpike Rd, Cromwell, CT 06416-2442 | 2007-04-17 |
| 1396866927 | Fedorciw and Massoumi LLC | Clinic/Center | 26 Shunpike Rd, Cromwell, CT 06416-2442 | 2007-04-02 |
| 1649395104 | Roman J Fedorciw | Dentist | 26 Shunpike Rd, Cromwell, CT 06416 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700997525 | Stanley E Schulman | Dentist | 75 Berlin Rd, Cromwell, CT 06416 | 2006-08-31 |
| 1326604398 | Matthew C Fenigstein | Dentist | 75 Berlin Rd, Cromwell, CT 06416-2633 | 2019-05-15 |
| 1316500606 | Peoplesdental, P.C. | Dentist | 75 Berlin Rd, Cromwell, CT 06416-2633 | 2019-04-22 |
| 1649395104 | Roman J Fedorciw | Dentist | 26 Shunpike Rd, Cromwell, CT 06416 | 2007-03-20 |
| 1366548323 | Jay L. Mestel | Dentist | 75 Berlin Rd, Suite 109, Cromwell, CT 06416 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354310 | Smileez | Dentist | 1 Darling Dr, Avon, CT 06001-4277 | 2020-10-21 |
| 1992316483 | Garrett Worsey | Dentist | 2432 Albany Ave Apt 203, West Hartford, CT 06117-2537 | 2020-08-10 |
| 1912523903 | Tyler Perimenis | Dentist | 105 Technology Dr Fl 2, Trumbull, CT 06611-6348 | 2020-06-25 |
| 1083237259 | Dental Smiles of Hartford, Pllc | Dentist | 550 Farmington Ave Ste B, Hartford, CT 06105-3041 | 2020-05-22 |
| 1376187872 | Sparkling Smiles Pllc | Dentist | 148 Talcottville Rd, Vernon, CT 06066-4705 | 2019-10-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1174176705 | Asnis Dental of Connecticut LLC | Dentist | 54 West Park Place, Stamford, CT 06901 | 2019-07-23 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1891252904 | Chidera Sharon Amilo | Dentist | 2001 W Main St Ste 135, Stamford, CT 06902-4543 | 2019-02-25 |
| 1831655836 | Plainville Dental Associates LLC | Dentist | 87 East St, Plainville, CT 06062-2301 | 2019-02-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.