Peter Stephen Massi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

037580 Issued in NY

Practice address

210 Old Campion Rd
New Hartford, NY 13413-1635

Phone

(315) 724-8216

Fax

(315) 724-8217

NPI assigned

Mar 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 9, 2016 through Mar 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932231529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 OLD CAMPION RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131635",
            "telephone_number": "315-724-8216",
            "fax_number": "315-724-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 OLD CAMPION RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131635",
            "telephone_number": "315-724-8216",
            "fax_number": "315-724-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSI",
        "first_name": "PETER",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Marie Martineau, OTR/L
• Kelly Lynn Martinelli, OTR/L
• Victor Enrique Martinez Zavala, MD
• Gina Marie Martini, DPT
• Martins Foods of South Burlington LLC (Hannaford Food and Drug)
• Andrea L Massocco
• Barbara Massoud, PT
• Shana Loren Mathers, OTR
• Thomas C Mathew, M.D.
• Anne Mathews, M.D.

• General Practice Dentistry in New Hartford, NY
• Providers in New Hartford, NY by specialty
• General Practice Dentistry in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.