Samuel L. Mason, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

14421 Issued in TX

Practice address

1704 Military Pkwy
Ste 700
Mesquite, TX 75149-3673

Phone

(972) 288-7197

Fax

(972) 288-5364

NPI assigned

May 27, 2008

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

Other names 1

• Samuel Leslie Mason Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1184882128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 MILITARY PKWY",
            "address_2": "STE 700",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493673",
            "telephone_number": "972-288-7197",
            "fax_number": "972-288-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 MILITARY PKWY",
            "address_2": "STE 700",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493673",
            "telephone_number": "972-288-7197",
            "fax_number": "972-288-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "SAMUEL",
        "middle_name": "L.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "14421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMUEL",
            "last_name": "MASON",
            "middle_name": "LESLIE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Janice Jones Marshall, MD
• Martin Jackson DPM PSC
• Camille Martinez
• Stephanie Martinez, LVN
• Mason Mesquite Op, LLC
• Masons Personal Care Homes Inc
• Farbod Masrour, D.O,
• Warner Barron Massey, MD
• Melody Lane Matej, FNP-C
• Mathew & Mathew Health Group LLC

• Dentist in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.