Mehreen Kassoo, DMD
Mehreen Kassoo, DMD is a provider specialising in Pediatric Dentistry in Princess Anne, MD, registered under NPI 1255790424.
Getting there
The practice address on file is 12165 ELM ST, Princess Anne, MD 21853. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| LL783 | MD | Pediatric Dentistry |
| 16417 | MD | Pediatric Dentistry primary |
This provider holds licence LL783 issued in MD. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Dentist
- PAC ID
- 8123373610
- Enrollment ID
- I20180625002866
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatric Dentistry covers
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. NUCC Health Care Provider Taxonomy, code 1223P0221X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry Pediatric Dentistry | LL783 | MD | |
| 1223P0221X | Pediatric Dentistry Pediatric Dentistry | 16417 | MD | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1255790424 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 17, 2016 |
| Last updated | Apr 22, 2024 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | DMD |
| Practice address |
12165 ELM ST Princess Anne, MD 21853 (410) 651-5151 Fax (410) 651-4256 |
| Mailing address |
PO BOX 1978 Salisbury, MD 21802 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 5 | 5 | 7 | 9 | 0 | 4 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 1 | 5 | 5 | 9 | 0 | 4 | 4 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.