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JAD MOURAD
NPI 1790248235
Dentist in Medford, MA

Active since April 11, 2019PECOS Enrolled
101 MAIN ST STE 206, MEDFORD, MA 02155(781) 395-5545 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2021, Apr 11, 2019 (2 updates tracked since 2019).

About Jad Mourad NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAD MOURAD (NPI 1790248235) is an individual dentist in Medford, Massachusetts, licensed in Massachusetts (DN1858810) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1790248235
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJAD MOURAD
Location Address101 MAIN ST STE 206Medford, MA 02155-4530
Mailing Address101 Main St Ste 206Medford, MA 02155-4530 · (781) 395-5545
Phone(781) 395-5545
Sole ProprietorNo
Enumeration DateApril 11, 2019
Last NPPES UpdateJanuary 12, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1790248235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · DN1858810
Definition
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.
101 MAIN ST STE 206, Medford, MA 02155
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Secondary Practice Location 1

Location 12730 SW Moody AvePortland, OR 97201-5042 · Phone (503) 494-8867

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jad Mourad is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORENZO LEPORE DMD PC
Dentist (General Practice)
101 MAIN ST STE 206
MEDFORD, MA 02155
Middlesex County (781) 395-5545
MEDFORD DENTAL WELLNESS CENTER, PC
Dentist
101 MAIN ST STE 206
MEDFORD, MA 02155
Middlesex County (781) 395-5545
DR. TIEN DO DMD
Dentist
101 MAIN ST STE 206
MEDFORD, MA 02155
Middlesex County (781) 395-5545
MEDFORD DENTAL ASSOCIATES, LLC
Dentist (General Practice)
101 MAIN ST STE 206
MEDFORD, MA 02155
Middlesex County (781) 395-5545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jad Mourad's NPI number?

The NPI number for Jad Mourad is 1790248235. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Jad Mourad located?

Jad Mourad practices at 101 Main St Ste 206, Medford, MA 02155. The listed phone number is (781) 395-5545.

What is Jad Mourad's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jad Mourad enrolled in Medicare?

Yes. Jad Mourad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jad Mourad was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.