Active NPI
Michael V. Massa, M.Ed., CCC Inc.
- Audiologist
- Alexandria, VA
National Provider Identifier
1861717100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201000160
- Legal business name
- MICHAEL V. MASSA, M.ED., CCC INC.
- Practice address
- 6355 Walker LN Ste 411
Alexandria, VA 22310-3250 - Phone
- (703) 313-0373
- Fax
- (703) 719-0400
- NPI assigned
- Mar 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael V Massa, AU.D.
- Title
- President
- Phone
- (703) 922-4262
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201000160 | VA | Primary |
Addresses
Primary practice location
6355 Walker LN Ste 411
Alexandria, VA 22310-3250
Mailing address
6355 Walker LN Ste 411
Alexandria, VA 22310-3250
Phone (703) 922-4262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6355 Walker Ln
Ste 411
Alexandria, VA 22310
Phone (703) 313-0373
6355 Walker Ln
Franconia, VA 22310
Phone (703) 664-7453
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Alexandria, VA
- NPI 1184551640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287619200000",
"number": "1861717100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 WALKER LN STE 411",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103250",
"telephone_number": "703-922-4262",
"fax_number": "703-719-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 WALKER LN STE 411",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103250",
"telephone_number": "703-313-0373",
"fax_number": "703-719-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL V. MASSA, M.ED., CCC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-30",
"last_updated": "2010-10-21",
"status": "A",
"authorized_official_last_name": "MASSA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-922-4262",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "VA",
"license": "2201000160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.