NPIMap

Organization Active NPI

A to Z Family Dentistry, PC

  • Dentist
  • Troy, IL
National Provider Identifier
1336465277
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019024886 Issued in IL
Legal business name
A TO Z FAMILY DENTISTRY, PC
Practice address
120 W Market St
Troy, IL 62294-1419
Phone
(618) 667-6453
Fax
(618) 667-6173
NPI assigned
Apr 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Dr. Michael Todd Massie, DMDNPI 1669481370
Title
Dentist
Phone
(618) 667-6453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019024886 IL Primary

Addresses

Primary practice location

120 W Market St
Troy, IL 62294-1419

Mailing address

120 W Market St
Troy, IL 62294-1419
Phone (618) 667-6453

National Provider Directory

National Provider Directory

Locations

120 W Market St
Troy, IL 62294
Phone (618) 667-6453

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1336465277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MARKET ST",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941419",
            "telephone_number": "618-667-6453",
            "fax_number": "618-667-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MARKET ST",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941419",
            "telephone_number": "618-667-6453",
            "fax_number": "618-667-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TO Z FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "MASSIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "618-667-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.