Atef Monier Rezk Masak, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11273 Issued in OR

Practice address

433 30TH St
Astoria, OR 97103-2807

Phone

(503) 338-6000

NPI assigned

Jul 27, 2020

Sex

Male

Sole proprietor

No

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

Practice roles

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

• Arrow Dental LLC

  • Dentist
  • Astoria, OR
  • NPI 1194299271
  NPD (past)

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596240000000",
    "number": "1962011817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 SE HONEYSUCKLE LOOP UNIT B",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971467399",
            "telephone_number": "201-618-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 30TH ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971032807",
            "telephone_number": "503-338-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASAK",
        "first_name": "ATEF",
        "middle_name": "MONIER REZK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61084201",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon M Marsh, APRN
• Allison Kay Martin, M.D.
• Diane Martin
• Gina Martin, LMT
• Mary Bess Gloria ND LLC
• Carol R Mathre, LMT
• David Albert Mathre, RPH
• Dwight John Matson
• Nathalie Matson
• Allison Marie Mattila, DNP

• All providers in Astoria, OR
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; 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.