Isis Massoud, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

MD 10100 Issued in MD

Practice address

7063 Allentown Rd
Temple Hills, MD 20748-5301

Phone

(301) 449-1088

Fax

(301) 449-3924

NPI assigned

Oct 31, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Dental Care LLC

  • Dental Clinic/Center
  • Temple Hills, MD
  • NPI 1649861188
  NPD (past) Authorized official
• Isis Massoud, DDS

  • Dentist
  • Temple Hills, MD
  • NPI 1841538923
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033100938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7063 ALLENTOWN RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207485301",
            "telephone_number": "301-449-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7063 ALLENTOWN RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207485301",
            "telephone_number": "301-449-1088",
            "fax_number": "301-449-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOUD",
        "first_name": "ISIS",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "MD 10100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Orthopaedic & Wellness Group
• Maryland CVS Pharmacy, L.L.C.
• Maryland Family Dentistry Associates
• Maryland Mental Health Services, LLC
• Maryland Metro Dental Services, PLLC
• Lona Mathis
• Renuka Tirupasur Mathur, M.D.
• Dnyra May
• Shalawn Mayfield
• Mayfrank Inc

• Dentist in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.