Active NPI
Alexander Joseph Dimassa, DMD
- Endodontics
- Mayfield Heights, OH
National Provider Identifier
1760063887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- RES.004223
- Practice address
- 5825 Landerbrook Dr Ste 225
Mayfield Heights, OH 44124-6533 - Phone
- (440) 605-0456
- NPI assigned
- Apr 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 30.026898 | OH | |
| Endodontics | 1223E0200X | RES.004223 | OH | Primary |
Addresses
Primary practice location
5825 Landerbrook Dr Ste 225
Mayfield Heights, OH 44124-6533
Mailing address
23588 Belmont Dr
Westlake, OH 44145-2713
Phone (216) 408-0231
Other practice location 1
9601 Chester Ave
Cleveland, OH 44106-1666
Phone (216) 408-0231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.026898 | OH | MD | Endodontist |
| RES.004223 | OH | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1760063887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23588 BELMONT DR",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452713",
"telephone_number": "216-408-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5825 LANDERBROOK DR STE 225",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441246533",
"telephone_number": "440-605-0456"
}
],
"practiceLocations": [
{
"address_1": "9601 Chester Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441061666",
"country_code": "US",
"telephone_number": "216-408-0231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIMASSA",
"first_name": "ALEXANDER",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-20",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "30.026898",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "RES.004223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.