Organization Active NPI

Mason Family Dentistry

  • General Practice Dentistry
  • Hot Springs Village, AR
National Provider Identifier
1073735221
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
Legal business name
MASON FAMILY DENTISTRY
Practice address
4585 N Highway 7 Ste 13
Hot Springs Village, AR 71909
Phone
(501) 984-5177
Fax
(501) 984-6350
NPI assigned
May 3, 2007
Organization subpart
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

Authorized official

Name
Dr. John Conley Mason, D.D.S.NPI 1013958149
Title
Owner
Phone
(501) 984-5177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3388 AR Primary

Addresses

Primary practice location

4585 N Highway 7 Ste 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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1073735221",
    "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 STE 13",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "71909",
            "telephone_number": "501-984-5177",
            "fax_number": "501-984-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CONLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-984-5177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.