Scott C. Mason, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

013438 Issued in MO

Practice address

132 W Washington
Ava, MO 65608-1058

Phone

(417) 683-3636

NPI assigned

Nov 17, 2014

Last updated

Nov 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Scott Mason DDS

  • Dentist
  • Ava, MO
  • NPI 1083829147
  Authorized official Same address or phone

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1184020323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BX 1058",
            "address_2": "132 W. WASHINGTON",
            "city": "AVA",
            "state": "MO",
            "postal_code": "656081058",
            "telephone_number": "417-683-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W WASHINGTON",
            "city": "AVA",
            "state": "MO",
            "postal_code": "656081058",
            "telephone_number": "417-683-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "SCOTT",
        "middle_name": "C.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Anne Luckfield, PHARMD
• McKenna Glyn Madche, FNP
• Danny Maggard
• Kristen Maggard
• Mansfield Clinic, Inc. (Prime Care of Ava)
• Medical Equipment Inspection & Repair
• Mercy Clinic Springfield Communities (Mercy Clinic Family Medicine Ava)
• April Moody, LMSW
• Carolyn Marie Myers, OTR/L
• Andrea Naylor, GERONTOLOGIST

• General Practice Dentistry in Ava, MO
• Providers in Ava, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.