Dominick Rinaldo Massa

Primary specialty

DentistTaxonomy code 122300000X

License

11873 Issued in TN

Practice address

120 Donelson Pike Ste 103
Nashville, TN 37214-2911

Phone

(615) 839-8665

NPI assigned

Jun 17, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1811566599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 MORNING VIEW DR",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370665715",
            "telephone_number": "615-839-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DONELSON PIKE STE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142911",
            "telephone_number": "615-839-8665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8410 Datapoint Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293220",
            "country_code": "US",
            "telephone_number": "210-949-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSA",
        "first_name": "DOMINICK",
        "middle_name": "RINALDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2022-07-27",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "11873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Legato Mason, PA-C
• Samuel Kyle Mason, LPC-MHSP
• Thomas Emmett Mason, MD
• Wendi R. Mason, N.P.
• William J Mason, D.D.S
• Rachel Azevedo Massa, MD
• Maima Massaquoi, LPN
• Katerina Massengale, MD, MPH
• Meredith Massengale
• Kimberlee Massey-Owen, LCSW

• Dentist in Nashville, TN
• Providers in Nashville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.