Frank Dominic Massaro, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044179 Issued in NY

Practice address

2060 Fairport Nine Mile Point Rd
Penfield, NY 14526-1749

Phone

(585) 377-5810

Fax

(585) 377-1121

NPI assigned

Mar 6, 2007

Last updated

Mar 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: fmassaro283566@direct.rochesterregional.org

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.

• The Unity Hospital of Rochester

  dba Unity Dental Group

  • Dental Clinic/Center
  • Rochester, NY
  • NPI 1205331766
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1326178906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 FAIRPORT NINE MILE POINT RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261749",
            "telephone_number": "585-377-5810",
            "fax_number": "585-377-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 FAIRPORT NINE MILE POINT RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261749",
            "telephone_number": "585-377-5810",
            "fax_number": "585-377-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARO",
        "first_name": "FRANK",
        "middle_name": "DOMINIC",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0441791",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02164390",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Makar-Piczko, RPA-C
• Stephanie Malone, OT
• Hayley Mandel, LMHC
• Manual Physical Therapy Specialists PLLC
• Mary Ann Wilson LCSW PLLC
• Erin Mast
• Michael Anthony Mastrodonato II, DC
• Kayleigh Matesic, PHARMD
• Fletcher Reid Matthes, L.M.T.
• Alyssa Matz

• General Practice Dentistry in Penfield, NY
• Providers in Penfield, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.