Ryan Massinople, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019034295 Issued in IL

Practice address

1259 S Wabash Ave
Chicago, IL 60605-2412

Phone

(312) 846-6752

NPI assigned

Jun 2, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1083307136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UPPER MIDDLE RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141439",
            "telephone_number": "304-549-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 S WABASH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052412",
            "telephone_number": "312-846-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSINOPLE",
        "first_name": "RYAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019034295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suena Huang Massey, MD
• Elise Dion Massie, PH.D.
• Jonathan P Massie, MD
• Taylor A Massie, DPT
• Carla Massignan
• Jeanny Masso
• Pierre Masson, CPO
• Tiffany Rachelle Masson, PSY.D.
• Fortunee Massuda, DPM
• C Mark Massullo, LCSW

• All providers in Chicago, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.