NPIMap

Organization Active NPI

Linda J Massod Dmdpc

  • General Practice Dentistry
  • Danvers, MA
National Provider Identifier
1477608305
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17945 Issued in MA
Legal business name
LINDA J MASSOD DMDPC
Practice address
85 Constitution Lane
Suite 2G
Danvers, MA 01923
Phone
(978) 774-4505
Fax
(978) 762-7470
NPI assigned
Jan 23, 2007
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
Linda J Massod, DMD
Title
Doctor Owner President
Phone
(978) 774-4505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17945 MA Primary

Addresses

Primary practice location

85 Constitution Lane
Suite 2G
Danvers, MA 01923

Mailing address

85 Constitution Lane
Suite 2G
Danvers, MA 01923
Phone (978) 774-4505

National Provider Directory

National Provider Directory

Locations

85 Constitution Ln
Ste 2G
Danvers, MA 01923
Phone (978) 774-4505

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477608305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CONSTITUTION LANE",
            "address_2": "SUITE 2G",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-774-4505",
            "fax_number": "978-762-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CONSTITUTION LANE",
            "address_2": "SUITE 2G",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-774-4505",
            "fax_number": "978-762-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA J MASSOD DMDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASSOD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR OWNER PRESIDENT",
        "authorized_official_telephone_number": "978-774-4505",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

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.