Active NPI
Peter H Mason, DPM
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
National Provider Identifier
1003800525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36-00-2819M
- Practice address
- 1632 Stafford Springs PL
Dayton, OH 45458-6033 - Phone
- (937) 608-0396
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36-00-2819M | OH | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3344 | FL |
Addresses
Primary practice location
1632 Stafford Springs PL
Dayton, OH 45458-6033
Mailing address
1632 Stafford Springs PL
Dayton, OH 45458-6033
Phone (937) 608-0396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2187888 | Medicaid | OH |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455753600000",
"number": "1003800525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1632 STAFFORD SPRINGS PL",
"city": "DAYTON",
"state": "OH",
"postal_code": "454586033",
"telephone_number": "937-608-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1632 STAFFORD SPRINGS PL",
"city": "DAYTON",
"state": "OH",
"postal_code": "454586033",
"telephone_number": "937-608-0396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "PETER",
"middle_name": "H",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2016-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36-00-2819M",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3344",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2187888",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.