Organization Active NPI

Warren C. Massey, DDS, Ms. PA

  • Pediatric Dentistry
  • Fayetteville, AR
National Provider Identifier
1295994333
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2059 Issued in AR
Legal business name
WARREN C. MASSEY, DDS, MS. PA
Practice address
3089 E Mission Blvd
Fayetteville, AR 72703-4385
Phone
(479) 442-6995
Fax
(479) 443-6468
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Dr. Warren C Massey, DDS, MS, PA
Title
Dentist
Phone
(479) 442-6995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 2059 AR Primary

Addresses

Primary practice location

3089 E Mission Blvd
Fayetteville, AR 72703-4385

Mailing address

3089 E Mission Blvd
Fayetteville, AR 72703-4385
Phone (479) 442-6995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1295994333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3089 E MISSION BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034385",
            "telephone_number": "479-442-6995",
            "fax_number": "479-443-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3089 E MISSION BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034385",
            "telephone_number": "479-442-6995",
            "fax_number": "479-443-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN C. MASSEY, DDS, MS. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-442-6995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, PA"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "2059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.