NPIMap

Organization Active NPI

I.Richard Massoth, DDS, Lise Laflamme, DMD

  • Endodontics
  • Tarzana, CA
National Provider Identifier
1972817427
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
28957 Issued in CA
Legal business name
I.RICHARD MASSOTH, DDS, LISE LAFLAMME, DMD
Practice address
5567 Reseda Blvd Ste 100
Tarzana, CA 91356-2648
Phone
(818) 705-1274
Fax
(818) 705-6782
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Dr. Richard Massoth
Title
DDS, MSD
Phone
(818) 705-1274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 28957 CA Primary

Addresses

Primary practice location

5567 Reseda Blvd Ste 100
Tarzana, CA 91356-2648

Mailing address

5567 Reseda Blvd Ste 100
Tarzana, CA 91356-2648
Phone (818) 705-1274

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1972817427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5567 RESEDA BLVD STE 100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562648",
            "telephone_number": "818-705-1274",
            "fax_number": "818-705-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5567 RESEDA BLVD STE 100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562648",
            "telephone_number": "818-705-1274",
            "fax_number": "818-705-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I.RICHARD MASSOTH, DDS, LISE LAFLAMME, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "MASSOTH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DDS, MSD",
        "authorized_official_telephone_number": "818-705-1274",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "28957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.