Individual provider Active NPI

Hend Massarani, DDS

  • Dentist
  • Troy, MI
National Provider Identifier
1699469304
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601729 Issued in MI
Practice address
2474 Tall Oaks Dr
Troy, MI 48098-2496
Phone
(248) 765-3507
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601729 MI Primary

Addresses

Primary practice location

2474 Tall Oaks Dr
Troy, MI 48098-2496

Mailing address

1555 W Big Beaver Rd BLDG G
Troy, MI 48084-3525
Phone (248) 765-3507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20250610000920 MI Order and Referring Only - Pediatric DentistryPractitioner - Pediatric Dentistry 7113437153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901601729MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1699469304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 W BIG BEAVER RD BLDG G",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843525",
            "telephone_number": "248-765-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 TALL OAKS DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982496",
            "telephone_number": "248-765-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARANI",
        "first_name": "HEND",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.