Mark William Massey, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12832 Issued in TN

Practice address

1350 Concourse Ave Ste 142
Memphis, TN 38104-4570

Phone

(901) 604-1794

NPI assigned

Jun 16, 2025

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mark.f.p1@direct.churchhealthcenter.nextgenshare.com

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1427944677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4771 MARLIN AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381176211",
            "telephone_number": "901-604-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CONCOURSE AVE STE 142",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044570",
            "telephone_number": "901-604-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Massengill
• Michael Brett Massengill
• Ethel Jean Massey
• Lashaunda Poindexter Massey, PH.D.
• Luann S Massey, FNP
• Maxey Massey
• Nancy B Massey, D.D.S.
• Sandra Massey, CRNA
• Xavier Massey
• Rawad Massouh, MD

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.