DR. MARK ALLEN MASSEY (NPI# 1063591089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063591089 |
Entity Type | Individual |
Full Name | DR. MARK ALLEN MASSEY |
Credential | DDS |
Practice Address |
4350 S National Ave Ste B122 Springfield MO 65810-2658 |
Practice Telephone | 4178837668 |
Mailing Telephone | 4178837668 |
Enumeration Date | 2006-11-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
015864 | MO | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568003341 | Mark Wayne Massey | Durable Medical Equipment & Medical Supplies | 1552 Mcgowan Pkwy, Olivehurst, CA 95961-9320 | 2019-10-03 |
Street Address |
4350 S NATIONAL AVE STE B122 |
City | SPRINGFIELD |
State | MO |
Zip Code | 65810-2658 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508373838 | Sunterra Springfield Oc, LLC | Skilled Nursing Facility | 4935 S National Ave, Springfield, MO 65810 | 2018-01-09 |
1982119392 | Boyoung Park | Specialist/Technologist | 4355 S National Ave Apt 905, Springfield, MO 65810 | 2017-12-07 |
1578086310 | Missouri Telerad LLC | Radiology | 5117 South Neffleton Avenue, Springfiled, MO 65810 | 2017-07-24 |
1245597285 | Intrepid of Missouri, Inc. | Hospice Care, Community Based | 4305 S. National Ave., Springfield, MO 65810 | 2012-04-16 |
1700199668 | Telerad of Mo Account Management, LLC | Radiology | 5117 S. Neffleton Ave, Springfield, MO 65810 | 2010-07-21 |
1427286251 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 745 W El Camino Alto Drive, Springfield (s), MO 65810 | 2009-07-01 |
1033344304 | Teresa Mary Kaelin | Occupational Therapist | 3291 W. Ridge Run, Springfield, MO 65810 | 2009-05-15 |
1538366448 | Rani K Nair | Internal Medicine | 3231 S National Mercy Endocrineology, Ste 440, Springfield, MO 65810 | 2007-07-03 |
1467672519 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 4955 S. National Ave., Unit A, Springfield, MO 65810 | 2007-04-30 |
1336161983 | Leo Allan Tokarczyk | Dentist | 4777 S National Ave, Springfield, MO 65810 | 2006-07-24 |
Find all providers in zip 65810 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134782592 | Endodontics of Springfield | Dentist | 997 Clock Tower Dr Ste C, Springfield, IL 62704-1399 | 2019-04-20 |
1831671353 | Sachin Rastogi Dmd Pllc | Dentist | 6116 Rolling Rd Ste 304, Springfield, VA 22152-1512 | 2018-08-31 |
1992955405 | Greater Springfield Endodontics Partnership | Dentist | 2808 S Ingram Mill Rd, Building C108, Springfield, MO 65804-4079 | 2008-09-22 |
1023213758 | Reza Fardshisheh | Dentist | 6120 Brandon Ave Ste 314, Springfield, VA 22150-2504 | 2007-06-21 |
1396888426 | Carol A Mccall | Dentist | 1358 E Kingsley St, Suite E, Springfield, MO 65804-7216 | 2007-02-15 |
1801936570 | Western Mass Endodontics PC | Dentist | 15 Liberty Street, Western Mass Endodontics, Springfield, MA 01103 | 2007-02-08 |
1386795193 | Gerald Lane Stephenson | Dentist | 3331 E Montclair St, Suite A, Springfield, MO 65804-4785 | 2007-01-16 |
1871665232 | David James Hurt | Dentist | 1201 S Veterans Pkwy Ste E, Springfield, IL 62704-6342 | 2006-11-14 |
1215008008 | Stewart A. Hinkley | Dentist | 1990 Kingsgate Rd # B, Springfield, OH 45502-8224 | 2006-11-13 |
1982796041 | Lisa Dawn Castleman | Dentist | 1338 E Kingsley St, Suite A, Springfield, MO 65804-7216 | 2006-09-28 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65810 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.