Organization Active NPI

Hyannis Dental Associates,LLC

  • General Practice Dentistry
  • Hyannis, MA
National Provider Identifier
1215051867
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1523350 Issued in MA
Legal business name
HYANNIS DENTAL ASSOCIATES,LLC
Practice address
750 Attucks LN
Hyannis, MA 02601-1950
Phone
(508) 778-4488
Fax
(508) 778-2266
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Dr. Jack Steven Massarsky, DDS
Title
Dentist
Phone
(508) 778-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1523350 MA Primary

Addresses

Primary practice location

750 Attucks LN
Hyannis, MA 02601-1950

Mailing address

750 Attucks LN
Hyannis, MA 02601-1950
Phone (508) 778-4488

National Provider Directory

National Provider Directory

Locations

750 Attucks Ln
Hyannis, MA 02601
Phone (508) 778-4488

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1215051867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ATTUCKS LN",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011950",
            "telephone_number": "508-778-4488",
            "fax_number": "508-778-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ATTUCKS LN",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011950",
            "telephone_number": "508-778-4488",
            "fax_number": "508-778-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYANNIS DENTAL ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "MASSARSKY",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "508-778-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1523350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.