NPIMap

Organization Active NPI

Massey Family Dentistry, P.C.

  • General Practice Dentistry
  • Savoy, IL
National Provider Identifier
1043470941
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019023621 Issued in IL
Legal business name
MASSEY FAMILY DENTISTRY, P.C.
Practice address
1810 Woodfield Dr
Savoy, IL 61874-9505
Phone
(217) 352-6232
NPI assigned
Jun 13, 2008
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Michael Ted Massey, D.D.S.NPI 1588798979
Title
Owner
Phone
(217) 352-6232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019023621 IL Primary

Addresses

Primary practice location

1810 Woodfield Dr
Savoy, IL 61874-9505

Mailing address

1810 Woodfield Dr
Savoy, IL 61874-9505
Phone (217) 352-6232

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1043470941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 WOODFIELD DR",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749505",
            "telephone_number": "217-352-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WOODFIELD DR",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749505",
            "telephone_number": "217-352-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSEY FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-352-6232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savoy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.