Active NPI
Hyannis Dental Associates,LLC
- General Practice Dentistry
- Hyannis, MA
National Provider Identifier
1215051867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1523350
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.