Individual provider Active NPI

James W Massa, D.D.S.

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1336359884
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0012603 Issued in FL
Practice address
2220 Venetian CT
7A
Naples, FL 34109-8726
Phone
(239) 597-7333
Fax
(239) 597-6537
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN0012603 FL Primary

Addresses

Primary practice location

2220 Venetian CT
7A
Naples, FL 34109-8726

Mailing address

2220 Venetian CT
7A
Naples, FL 34109-8726
Phone (239) 597-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20180625000443 FL Order and Referring Only - DentistPractitioner - Dentist 6204181738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN0012603FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Dental Professionals, P.a. General Practice PastSince Mar 31, 2024 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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1336359884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 VENETIAN CT",
            "address_2": "7A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341098726",
            "telephone_number": "239-597-7333",
            "fax_number": "239-597-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 VENETIAN CT",
            "address_2": "7A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341098726",
            "telephone_number": "239-597-7333",
            "fax_number": "239-597-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSA",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.