Natalie Taylor Massa Wallace, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025436 Issued in OH

Practice address

1012 State Route 521 Ste 202
Delaware, OH 43015

Phone

(740) 417-9565

NPI assigned

Jun 4, 2018

Last updated

Jun 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Natalie Taylor Massa Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delaware Smile Center- Joseph W Papp DDS LLC

  dba Delaware Smile Center

  • Dental Clinic/Center
  • Delaware, OH
  • NPI 1336612167
  NPD (past)
• Dr Rajan K Sheth DDS LLC

  • General Practice Dentistry
  • Worthington, OH
  • NPI 1801362538
  NPD (past)
• Rajan K Sheth DDS LLC

  dba Delaware Smile Center

  • General Practice Dentistry
  • Delaware, OH
  • NPI 1487108692
  NPD (past)
• Scarlet Dental Katie Vincer Sears DDS, Inc.

  • Dentist
  • Zanesville, OH
  • NPI 1134550882
  NPD (past)

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1194217315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6834 ROLFE AVE",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547596",
            "telephone_number": "614-674-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 STATE ROUTE 521 STE 202",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "43015",
            "telephone_number": "740-417-9565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Broadvue Cir",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437018565",
            "country_code": "US",
            "telephone_number": "740-454-6705",
            "fax_number": "740-454-9388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSA WALLACE",
        "first_name": "NATALIE",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "MASSA",
            "middle_name": "TAYLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Candice Iman Martin, D.O.
• Hannah Katherine Martin
• Loretta Lynne Martin, APS.002972
• Stacy L Martin, M.A., CCC-SLP
• Maryhaven Inc
• Ashley M Matchack, LPN
• Amy Mattern, D.O.
• John Roger Matthews II, PEER SPECIALIST
• Mattmo Outreach Residential Serivces
• Teresa Marie Matzke, FNP

• General Practice Dentistry in Delaware, OH
• Providers in Delaware, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.