NPIMap

Organization Active NPI

John R. Mason, D.D.S.

  • General Practice Dentistry
  • Bethel, ME
National Provider Identifier
1114133089
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2410 Issued in ME
Legal business name
JOHN R. MASON, D.D.S.
Practice address
44 North Rd
Bethel, ME 04217
Phone
(207) 824-3378
Fax
(207) 824-3012
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Dr. John R Mason, D.D.S.NPI 1508976622
Title
Owner
Phone
(207) 824-3378

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 2410 ME Primary

Addresses

Primary practice location

44 North Rd
Bethel, ME 04217

Mailing address

PO Box 570
Bethel, ME 04217-0570
Phone (207) 824-3378

Other names 1

  • Bethel Family Dentistry Other name

National Provider Directory

National Provider Directory
Tax ID family
Bethel Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1114133089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "042170570",
            "telephone_number": "207-824-3378",
            "fax_number": "207-824-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 NORTH RD",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "04217",
            "telephone_number": "207-824-3378",
            "fax_number": "207-824-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. MASON, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-824-3378",
        "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": "ME",
            "license": "2410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bethel, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.