John Massoud, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60175 Issued in CA

Practice address

1670 Westwood Dr
Suite J
San Jose, CA 95125-5111

Phone

(408) 266-6811

NPI assigned

Feb 9, 2011

Last updated

Oct 27, 2016By the provider in NPPES

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

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1477859312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 WESTWOOD DR",
            "address_2": "SUITE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255105",
            "telephone_number": "408-266-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 WESTWOOD DR",
            "address_2": "SUITE J",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255111",
            "telephone_number": "408-266-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOUD",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-09",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shereen Nawaf Masri, BA
• Stuart Irwin Mass, M.D.
• Dexter Massa
• Denise Massey, MD
• Patrice Massicotte
• Rasa Massoudi, LMFT
• Renia Kawana Masters, DPM
• Robert S Mastman, M.D.
• Aubrie Mastrangelo, LCSW
• Linda Mastrangelo, LMFT

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.