Active NPI
Henry Marcus Masek, DDS
- General Practice Dentistry
- Jonesboro, GA
National Provider Identifier
1275695876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08997
- Practice address
- 6568 Tara Road
Jonesboro, GA 30236 - Phone
- (770) 961-2000
- Fax
- (770) 961-9692
- NPI assigned
- Dec 14, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 08997 | GA | Primary |
Addresses
Primary practice location
6568 Tara Road
Jonesboro, GA 30236
Mailing address
1650 Oakbrook Dr
Suite 440
Norcross, GA 30093
Phone (770) 446-8000
Other names 1
- Dr. Henry Marcus Masek
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 |
|---|---|---|---|
| 08997 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentfirst PC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275695876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 OAKBROOK DR",
"address_2": "SUITE 440",
"city": "NORCROSS",
"state": "GA",
"postal_code": "30093",
"telephone_number": "770-446-8000",
"fax_number": "770-446-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6568 TARA ROAD",
"city": "JONESBORO",
"state": "GA",
"postal_code": "30236",
"telephone_number": "770-961-2000",
"fax_number": "770-961-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASEK",
"first_name": "HENRY",
"middle_name": "MARCUS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "08997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HENRY",
"last_name": "MASEK",
"middle_name": "MARCUS",
"prefix": "DR.",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.