Bradley Lawrence Masse, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

014112 Issued in MI

Practice address

110 Dewitt LN
Spring Lake, MI 49456-1921

Phone

(616) 842-1562

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1417961392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DEWITT LN",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561921",
            "telephone_number": "616-842-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DEWITT LN",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561921",
            "telephone_number": "616-842-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSE",
        "first_name": "BRADLEY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "014112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Madonna Mackenna, P.T.
• Mark B Mahacek, PSYD
• Kayla Maine, LPTA
• Kristen J Marsman, PT, DPT
• Wynne M Martin, PT
• Rachel McClenahan, LMSW
• Lori Lynn-Berg McDiarmid, LLP
• Jerome Linn McDowell, O.D.
• Lauren Elise McFall, DONA (CD)
• Patrick Scott McGettigan, PT, DPT

• Dentist in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.