Individual provider Active NPI

John Conley Mason, DDS

  • General Practice Dentistry
  • Hot Springs Village, AR
National Provider Identifier
1013958149
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3388 Issued in AR
Practice address
4585 N Highway 7
Suite 13
Hot Springs Village, AR 71909
Phone
(501) 984-5177
Fax
(501) 984-6350
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3388 AR Primary

Addresses

Primary practice location

4585 N Highway 7
Suite 13
Hot Springs Village, AR 71909

Mailing address

4585 N Highway 7 Ste 13
Hot Springs Village, AR 71909-8202
Phone (501) 984-5177

Other identifiers 1

IdentifierTypeStateIssuer
152459631MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20150225000364 AR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5092031765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3388ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mason Family Dentistry General Practice Past Accepting new patients
Southern Dental of Hot Springs PLLC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1013958149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 N HIGHWAY 7 STE 13",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719098202",
            "telephone_number": "501-984-5177",
            "fax_number": "501-984-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 N HIGHWAY 7",
            "address_2": "SUITE 13",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "71909",
            "telephone_number": "501-984-5177",
            "fax_number": "501-984-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JOHN",
        "middle_name": "CONLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152459631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

Sources for this page

Verify at the official NPI Registry.