Individual provider Active NPI

Jessica Massari, D.D.S

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1932547304
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.023997 Issued in OH
Practice address
3329 Broadview Rd
Cleveland, OH 44109-3315
Phone
(216) 398-8900
Fax
(216) 741-3131
NPI assigned
Jun 7, 2013
Last updated
Jun 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.023997 OH Primary

Addresses

Primary practice location

3329 Broadview Rd
Cleveland, OH 44109-3315

Mailing address

3329 Broadview Rd
Cleveland, OH 44109-3315
Phone (216) 398-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151218001835 OH Order and Referring Only - DentistPractitioner - Dentist 8022319953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.023997OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John a Hudec DDS Inc General Practice Past Accepting new patients
John a Hudec Puritas Dental Associates Inc General Practice Past Accepting new patients
John a Hudec Strongsville Dental Associates Inc General Practice Past Accepting new patients
John a Hudec DDS Specialty Services Inc General Practice Past Accepting new patients
John a Hudec Cleveland Dental Health Center Inc General Practice Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1932547304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093315",
            "telephone_number": "216-398-8900",
            "fax_number": "216-741-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093315",
            "telephone_number": "216-398-8900",
            "fax_number": "216-741-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARI",
        "first_name": "JESSICA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.