Active NPI
George B Massey Jr., DMD
- General Practice Dentistry
- Anchorage, AK
National Provider Identifier
1174633325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1026
- Practice address
- 3909 Arctic Blvd Ste 202
Anchorage, AK 99503-5769 - Phone
- (907) 339-2331
- Fax
- (907) 339-2332
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1026 | AK | Primary |
Addresses
Primary practice location
3909 Arctic Blvd Ste 202
Anchorage, AK 99503-5769
Mailing address
4951 Business Park Blvd
Anchorage, AK 99503-7174
Phone (907) 743-7366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3359359 | Other | AK | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arctic Family Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Anchorage, AK
- NPI 1063863215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1174633325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4951 BUSINESS PARK BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995037174",
"telephone_number": "907-743-7366",
"fax_number": "907-743-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 ARCTIC BLVD STE 202",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995035769",
"telephone_number": "907-339-2331",
"fax_number": "907-339-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "GEORGE",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AK",
"license": "1026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "3359359",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.