Jennifer Massa, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

905898 Issued in CO

Practice address

6425 Wadsworth Blvd
Arvada, CO 80003-4438

Phone

(303) 940-0125

NPI assigned

Apr 7, 2015

Sex

Female

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

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1588050447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 W 62ND AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802211907",
            "telephone_number": "303-898-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 WADSWORTH BLVD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800034438",
            "telephone_number": "303-940-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSA",
        "first_name": "JENNIFER",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "905898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Martin
• Sara Desiree Martin, LPC
• Camilo Martinez, DPT
• Bradley Paul Mascuch, L.A.C.
• Idalia Massa, PH.D.
• Robert Alan Masthay, D.M.D.
• Veena Mathad, M.D.
• Jennifer Rose Mathews, PHARMD
• Ganeev Mattu, DDS
• Maximal Balance

• Dental Hygienist in Arvada, CO
• Providers in Arvada, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.