Mark a Massa DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19908 Issued in OH

Legal business name

MARK A MASSA DDS INC

Practice address

245 Sterkel Blvd
Suite 100
Mansfield, OH 44907-1500

Phone

(419) 756-1452

Fax

(419) 756-2560

NPI assigned

Dec 6, 2006

Last updated

May 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Jean Muntan

Title

Office Manager

Phone

(419) 756-1452

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark A. Massa, DDS

  • General Practice Dentistry
  • Mansfield, OH
  • NPI 1982676185
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1730248923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STERKEL BLVD",
            "address_2": "SUITE 100",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071500",
            "telephone_number": "419-756-1452",
            "fax_number": "419-756-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 STERKEL BLVD",
            "address_2": "SUITE 100",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071500",
            "telephone_number": "419-756-1452",
            "fax_number": "419-756-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A MASSA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "MUNTAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-756-1452",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiara Mapp
• Dominick Marchio
• Sara Marhefka
• Maries Care Agency
• Dennis Andrew Marikis, PHD
• Megan Markley
• Peter R. Markovic, DC
• John Leon Marquardt, M.D.
• Richard Foster Marquardt, O.D.
• Thomas J. Marquardt, D.D.S.

• General Practice Dentistry in Mansfield, OH
• Providers in Mansfield, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.