Summer Doreemonet Massey
Individual provider Active NPI Driver · Canton, OH
NPI 1407567902 · NPPES record last updated Aug 3, 2026
Key facts
- NPI
- 1407567902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 1303 6TH St NE
Canton, OH 44704-1605 - Phone
- (330) 268-0260
- NPI assigned
- Dec 6, 2022
- Reactivated
- Aug 3, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
1303 6TH St NE
Canton, OH 44704-1605
Mailing address
1303 6TH St NE
Canton, OH 44704-1605
Phone (330) 268-0260
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.