Active NPI
Michael D Maseta, DDS
- Dentist
- Houston, TX
National Provider Identifier
1811058621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14334
- Practice address
- 9660 Hillcroft
Suite 110
Houston, TX 77096 - Phone
- (713) 723-5615
- Fax
- (713) 723-2294
- NPI assigned
- Dec 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14334 | TX | Primary |
Addresses
Primary practice location
9660 Hillcroft
Suite 110
Houston, TX 77096
Mailing address
9660 Hillcroft
Suite 110
Houston, TX 77096
Phone (713) 723-5615
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D14334 | Other | TX | BLUE CROSS |
| 974932 | Other | TX | UNITED CONCORDIA |
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 |
|---|---|---|---|
| 14334 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811058621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9660 HILLCROFT",
"address_2": "SUITE 110",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77096",
"telephone_number": "713-723-5615",
"fax_number": "713-723-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9660 HILLCROFT",
"address_2": "SUITE 110",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77096",
"telephone_number": "713-723-5615",
"fax_number": "713-723-2294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASETA",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "14334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "D14334",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "974932",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.