Matthew George Kaimi Masaki, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6295 Issued in NV

Practice address

3140 S Durango Dr
Suite 100
Las Vegas, NV 89117-9189

Phone

(702) 362-1856

NPI assigned

Aug 13, 2012

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

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Masaki Durango Dental Group, PC

  dba Durango Dental Group

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1447346481
  NPD (past) Authorized official

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1598012163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 VIA PRATO LN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890110600",
            "telephone_number": "949-422-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 S DURANGO DR",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179189",
            "telephone_number": "702-362-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASAKI",
        "first_name": "MATTHEW",
        "middle_name": "GEORGE KAIMI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Mae Marzo, CPNP-PC
• Anna Marzvanyan, DO
• Michael Edward Mas, LCSW, LADC
• Masaki Durango Dental Group, PC (Durango Dental Group)
• Damon Isamu Masaki, MD
• Cynthia Masalunga, MD
• Lyle Mytzle A. Masangkay, CRT, RRT
• Janet Frances Masanz
• Zuzana Masarykova
• Edmundo Villanueva Mascardo Jr.

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.