Organization Active NPI

Joe L. Mason, Jr., DMD, PA

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1194965418
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6919 Issued in NC
Legal business name
JOE L. MASON, JR., DMD, PA
Practice address
10052 Legolas LN
Charlotte, NC 28269-6985
Phone
(828) 226-4691
Fax
(828) 615-1244
NPI assigned
Feb 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Dr. Joe L Mason Jr., DMDNPI 1144346834
Title
Lead Dentist/Founder
Phone
(828) 226-4691

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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6919 NC Primary

Addresses

Primary practice location

10052 Legolas LN
Charlotte, NC 28269-6985

Mailing address

10052 Legolas LN
Charlotte, NC 28269-6985
Phone (828) 226-4691

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1194965418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10052 LEGOLAS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696985",
            "telephone_number": "828-226-4691",
            "fax_number": "828-615-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10052 LEGOLAS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696985",
            "telephone_number": "828-226-4691",
            "fax_number": "828-615-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE L. MASON, JR., DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LEAD DENTIST/FOUNDER",
        "authorized_official_telephone_number": "828-226-4691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.