Organization Active NPI

Richard T Masek DDS Inc

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1386754174
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25593 Issued in CA
Legal business name
RICHARD T MASEK DDS INC
Practice address
8505 Navajo Rd
San Diego, CA 92119-2001
Phone
(619) 828-1657
Fax
(619) 828-1718
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Thomas Masek, DDS
Title
President/Owner
Phone
(619) 828-1657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25593 CA Primary

Addresses

Primary practice location

8505 Navajo Rd
San Diego, CA 92119-2001

Mailing address

8505 Navajo Rd
San Diego, CA 92119-2001
Phone (619) 828-1657

Other names 1

  • Dental Expressions Doing business as

National Provider Directory

National Provider Directory

Locations

8505 Navajo Rd
San Diego, CA 92119
Phone (619) 697-6453

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386754174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 NAVAJO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192001",
            "telephone_number": "619-828-1657",
            "fax_number": "619-828-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 NAVAJO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192001",
            "telephone_number": "619-828-1657",
            "fax_number": "619-828-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD T MASEK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASEK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "619-828-1657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Expressions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.