Ronald Eric Massie, DDS, FAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015226 Issued in MO

Practice address

24 North Shore Dr
Lake Ozark, MO 65026-5721

Phone

(573) 365-0220

Fax

(573) 365-1962

NPI assigned

Nov 16, 2005

Last updated

Aug 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Premier Dental & Oral Health Group,P.C.

  • Customized Equipment (DME)
  • Lake Ozark, MO
  • NPI 1184094880
  NPD Authorized official
• Premier Dental and Oral Health Group

  • General Practice Dentistry
  • Lake Ozark, MO
  • NPI 1023090081
  NPD Authorized official

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1285616235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N SHORE DR",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650497111",
            "telephone_number": "573-365-0220",
            "fax_number": "573-365-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NORTH SHORE DR",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650265721",
            "telephone_number": "573-365-0220",
            "fax_number": "573-365-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIE",
        "first_name": "RONALD",
        "middle_name": "ERIC",
        "credential": "DDS, FAGD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Ozark Fire Protection District
• Lake Regional Health System (Lake Regional Clinic - Lake Ozark)
• Rodrick William Lekey, RN
• Dale A Lockhert, M.D.
• Teresa E Loney, PSY D
• Susan McClaughry, BSN
• Miller County Board for Services (Miller County Group Home)
• Miller County Board for Services for the Developmentally Disabled (Miller County Targeted Case Management)
• Miller County Board for Services for the Developmentally Disabled (Miller County Special Services)
• Missouri CVS Pharmacy LLC (CVS Pharmacy #04080)

• General Practice Dentistry in Lake Ozark, MO
• Providers in Lake Ozark, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.