Individual provider Active NPI

Elsayed Elmasry

  • General Practice Dentistry
  • Portsmouth, OH
National Provider Identifier
1467344697
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.028138 Issued in OH
Practice address
621 Broadway St
Portsmouth, OH 45662-4788
Phone
(740) 289-2371
NPI assigned
Jul 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.028138 OH Primary

Addresses

Primary practice location

621 Broadway St
Portsmouth, OH 45662-4788

Mailing address

1232 Mount Hope Ave Apt 11232
Rochester, NY 14620-2907
Phone (929) 281-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.028138OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Committee of Pike County Past Accepting new patients
Community Action Committee of Pike County Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1467344697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 MOUNT HOPE AVE APT 11232",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202907",
            "telephone_number": "929-281-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 BROADWAY ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624788",
            "telephone_number": "740-289-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMASRY",
        "first_name": "ELSAYED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.028138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.