Jules Luke Mascarenhas, BDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D010510 Issued in AZ

Practice address

2880 E Germann Rd Ste 13
Chandler, AZ 85286-1410

Phone

(480) 821-5444

NPI assigned

Sep 19, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Crossroads Dental Group, LLP

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1609961309
  NPD (past)

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645920000000",
    "number": "1144570938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E ATHENA AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978132",
            "telephone_number": "623-703-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 E GERMANN RD STE 13",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861410",
            "telephone_number": "480-821-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCARENHAS",
        "first_name": "JULES",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "BDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2022-02-27",
        "certification_date": "2022-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MN",
            "license": "D11731",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "D010510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shereen Masaih
• Max Mashal
• Dale Masi, CFA
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• Samuel Mason
• Alaina Delia Massaro, AUD

• Periodontics in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2022; 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.