Individual provider Active NPI

Alexander Joseph Dimassa, DMD

  • Endodontics
  • Mayfield Heights, OH
National Provider Identifier
1760063887
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
RES.004223 Issued in OH
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

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
30.026898OHMDEndodontist
RES.004223OHMDEndodontist

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.

Verify at the official NPI Registry.