Active NPI
Joshua Benjamin Massey, D.D.S.
- Dentist
- Walterboro, SC
National Provider Identifier
1184824740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4378
- Practice address
- 415 Robertson Blvd Ste a
Walterboro, SC 29488-5713 - Phone
- (843) 549-2121
- NPI assigned
- Jul 23, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4378 | SC | Primary |
Addresses
Primary practice location
415 Robertson Blvd Ste a
Walterboro, SC 29488-5713
Mailing address
1726 Waterbrook Dr
Charleston, SC 29414-8005
Phone (304) 617-0342
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4378 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel M.Hazel, DMD LLC | Past | Accepting new patients | |
| P. Spencer Witkin D.M.D. LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Walterboro, SC
- NPI 1932506946
-
- General Practice Dentistry
- Walterboro, SC
- NPI 1689883662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1184824740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1726 WATERBROOK DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294148005",
"telephone_number": "304-617-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 ROBERTSON BLVD STE A",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294885713",
"telephone_number": "843-549-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "JOSHUA",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "4378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walterboro, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.