PEIMAN MAHDAVI (NPI# 1851349708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851349708 |
| Entity Type | Individual |
| Full Name | PEIMAN MAHDAVI |
| Credential | D.M.D. |
| Practice Address |
1428 Main St Suite#1 Walpole MA 02081-1729 |
| Mailing Address |
1428 Main St. Suite#1 Walpole MA 02081 |
| Practice Telephone | 5086688008 |
| Practice Fax Number | 5086688808 |
| Mailing Telephone | 5086688008 |
| Mailing Fax Number | 5086688808 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
17965 | MA | Dental Providers |
| Street Address |
1428 MAIN ST SUITE#1 |
| City | WALPOLE |
| State | MA |
| Zip Code | 02081-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574856 | Bradley Adams | Dentist | 1428 Main St, Walpole, MA 02081-1729 | 2020-07-01 |
| 1922150861 | Gerald M Reid Md PC | Surgery | 1428 Main St, Walpole, MA 02081 | 2007-01-18 |
| 1932251709 | Gerald M Reid | Surgery | 1428 Main St, Walpole, MA 02081 | 2007-01-18 |
| 1255411831 | Dental Associates of Walpole | Dentist | 1428 Main St, Suite 1, Walpole, MA 02081-1729 | 2006-10-17 |
| 1932217346 | Carmela Vilar Wise | Dentist | 1428 Main St, Suite 1, Walpole, MA 02081-1729 | 2006-08-26 |
| 1063434983 | Scott Fraser Petrie | Dentist | 1428 Main St, Suite 1, Walpole, MA 02081 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740647122 | Nicole Rose Kelley | Specialist | 63 Edgewood Ave, Walpole, MA 02081 | 2016-01-15 |
| 1962886176 | Christina Gironda | Social Worker | 16 Nectar Rd, Walpole, MA 02081 | 2015-07-17 |
| 1578833125 | Audra Louise Cohen | Counselor | 95 West St., Walpole, MA 02081 | 2012-01-12 |
| 1093913048 | Kurt Thomas Herman | Dentist | 841 Maint St, Walpole, MA 02081 | 2007-07-10 |
| 1265654784 | Robert James Memory | Dentist | 841 Main Street, Walpole, MA 02081 | 2007-05-03 |
| 1194811505 | Donald Roy Gedarovich | Internal Medicine | 1426 Main Street, Suite 5, Walpole, MA 02081 | 2006-10-04 |
| 1417050295 | Nancy J Stechler | Psychologist | 1600 Providence Hwy, Walpole, MA 02081 | 2006-09-06 |
| 1386662997 | James G Farnham | Social Worker | Colony Care Behavioral Health, 841 Main Street, Walpole, MA 02081 | 2006-07-18 |
| 1023087848 | Suzanne R Posner | Social Worker | 95 West Street, Walpole, MA 02081 | 2006-03-15 |
| 1821065640 | Boston Healthcare Inc | Clinic/Center | 420 Main St, Suite 15, Walpole, MA 02081 | 2006-03-01 |
| Find all providers in zip 02081 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346645884 | Emily Jeanne Samuel | Dentist | 24 Westminster Street West, Walpole, NH 03608-0815 | 2014-10-27 |
| 1619034543 | Dominic Ralph Caruso | Dentist | 1350 Main St, Walpole, MA 02081-1718 | 2007-01-02 |
| 1932217346 | Carmela Vilar Wise | Dentist | 1428 Main St, Suite 1, Walpole, MA 02081-1729 | 2006-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352787 | New Bedford Dentistry and Braces PC | Dentist | 81 Coggeshall St Ste B, New Bedford, MA 02746-5448 | 2020-09-29 |
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1881200822 | East Milton Orthodontics, PC | Dentist | 25 Bryant Ave, Milton, MA 02186-5429 | 2020-09-16 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1003439449 | Emily Sachs | Dentist | 247 Hanover St, Hanover, MA 02339-2208 | 2020-05-20 |
| 1891331468 | University Dental of Webster Pllc | Dentist | 6 Slater St, Webster, MA 01570-2350 | 2019-11-19 |
| 1538700539 | Cecilia Mercedes Deller | Dentist | 28 Randolph St, Weymouth, MA 02190-1506 | 2019-10-01 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1942858063 | Epic Family Dentistry Pllc | Dentist | 315 Norwood Park S Ste 100, Norwood, MA 02062-4681 | 2019-09-02 |
| 1366090896 | Andrew Fraser | Dentist | 1121 Main St Ste 1, South Weymouth, MA 02190-1567 | 2019-08-28 |
| 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.