Mistina Lovina Massey, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

100760 Issued in CA

Practice address

6165 Valley Springs Pkwy Ste E
Riverside, CA 92507-0955

Phone

(951) 214-6585

NPI assigned

Apr 19, 2017

Sex

Female

Sole proprietor

Yes

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 CA

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

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.

• Gupta Gill Abdolhosseini DDS Inc

  • General Practice Dentistry
  • Chino Hills, CA
  • NPI 1083870109
  NPD (past)
• Sergio P. Saucedo DDS Inc.

  • Dental Clinic/Center
  • Riverside, CA
  • NPI 1124324561
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1346774080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 VALLEY SPRINGS PKWY STE E",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 VALLEY SPRINGS PKWY STE E",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070955",
            "telephone_number": "951-214-6585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5771 Pine Ave",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917096529",
            "country_code": "US",
            "telephone_number": "909-597-2477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "MISTINA",
        "middle_name": "LOVINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS100760",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346774080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claro Masisado
• Malaki Lucas Coltrane Mask, BA
• Jennifer Joanne Mason, P.T.
• Katherine Inez Mason, ARNP
• Donald R Massee, MD
• Mark Massi, MD
• Molli Massi, MSW, ACSW
• Brian Massie
• Leeanna Massignani
• Rahul Masson

• Dentist in Riverside, CA
• Providers in Riverside, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.