Individual provider Active NPI

Massiel Parra, DMD

  • Pediatric Dentistry
  • Austin, TX
National Provider Identifier
1992180376
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
40348 Issued in TX
Practice address
8901 Vertex Blvd Unit 130
Austin, TX 78747-2793
Phone
(512) 677-7443
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02607900 NJ
Pediatric Dentistry 1223P0221X 058860 NY
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 40348 TX Primary

Addresses

Primary practice location

8901 Vertex Blvd Unit 130
Austin, TX 78747-2793

Mailing address

8901 Vertex Blvd Unit 130
Austin, TX 78747-2793
Phone (512) 677-7443

Other identifiers 1

IdentifierTypeStateIssuer
0491977MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20181211002142 NY Order and Referring Only - DentistPractitioner - Dentist 4789928185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02607900NJMDDentist
058860NYMDPediatric Dentist
40348TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1992180376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 VERTEX BLVD UNIT 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787472793",
            "telephone_number": "512-677-7443",
            "fax_number": "512-333-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 VERTEX BLVD UNIT 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787472793",
            "telephone_number": "512-677-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA",
        "first_name": "MASSIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02607900",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "058860",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "40348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0491977",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.