Active NPI
Jack Steven Massarsky, DDS
- General Practice Dentistry
- Hyannis, MA
National Provider Identifier
1982735874
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective May 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15233
- Practice address
- 310 Barnstable Rd
Suite 302
Hyannis, MA 02601-2902 - Phone
- (508) 778-4488
- Fax
- (508) 778-2266
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15233 | MA | Primary |
Addresses
Primary practice location
310 Barnstable Rd
Suite 302
Hyannis, MA 02601-2902
Mailing address
80 Farm Valley Rd
Osterville, MA 02655-1825
Phone (508) 420-1975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15233 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982735874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 FARM VALLEY RD",
"city": "OSTERVILLE",
"state": "MA",
"postal_code": "026551825",
"telephone_number": "508-420-1975",
"fax_number": "508-778-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 BARNSTABLE RD",
"address_2": "SUITE 302",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026012902",
"telephone_number": "508-778-4488",
"fax_number": "508-778-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSARSKY",
"first_name": "JACK",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "15233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- 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; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.