Active NPI
Lon Massaglia, DDS
- Dentist
- Jensen Beach, FL
National Provider Identifier
1851586440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN9277
- Practice address
- 578 NE Dixie Hwy
Jensen Beach, FL 34957-6115 - Phone
- (772) 225-2111
- Fax
- (772) 225-2114
- NPI assigned
- Sep 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | DN9277 | FL | Primary |
Addresses
Primary practice location
578 NE Dixie Hwy
Jensen Beach, FL 34957-6115
Mailing address
578 NE Dixie Hwy
Jensen Beach, FL 34957-6115
Phone (772) 225-2111
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1851586440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 NE DIXIE HWY",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349576115",
"telephone_number": "772-225-2111",
"fax_number": "772-225-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "578 NE DIXIE HWY",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349576115",
"telephone_number": "772-225-2111",
"fax_number": "772-225-2114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSAGLIA",
"first_name": "LON",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-07",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN9277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jensen Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.