Jordan Thomas Masson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401412245 Issued in VA

Practice address

242 Mustang TRL
Suite #9
Virginia Beach, VA 23452-7515

Phone

(757) 340-1153

NPI assigned

Aug 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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.

• Dr Thomas J. O'Hara

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1912113119
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1104072867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 SHIPS WATCH CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511269",
            "telephone_number": "248-410-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MUSTANG TRL",
            "address_2": "SUITE #9",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527515",
            "telephone_number": "757-340-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSON",
        "first_name": "JORDAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412245",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Quinn Massart
• Lakeyia Shanise Massey
• Stephanie Massey, LPTA
• Virginia Massey, PROFESSIONAL COUNSEL
• Sarah R. Massie, LPC
• Kerri Mast
• Mose Mast
• Master Plan Therapy, LLC
• Kristin Master, LPC
• Paryn Rae Masters

• Dentist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.