T. Keaton Mash, DMD, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

T. KEATON MASH, DMD, PLLC

Practice address

122 Wilkesboro Ave
North Wilkesboro, NC 28659-4218

Phone

(336) 667-4143

NPI assigned

Jun 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Thomas K Mash, DMDNPI 1407204340

Title

Managing Dentist

Phone

(828) 406-5728

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Thomas Keaton Mash, DMD

  • General Practice Dentistry
  • N Wilkesboro, NC
  • NPI 1407204340
  NPD Authorized official
• Robert Ricketts, DDS

  • Dentist
  • North Wilkesboro, NC
  • NPI 1497152847
  NPD (past)

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1205328119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COX RD",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WILKESBORO AVE",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594218",
            "telephone_number": "336-667-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. KEATON MASH, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "MASH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "828-406-5728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger William Stotler Jr., PT
• Robin Lincoln Sumner, PA
• Megan B Swaringen, OD
• Sandra Love Swaringen, O.D.
• Synergy Recovery
• Leah Miraglia Tanou, PA-C
• Marley Alanna Tarlton, LCSW-A
• John David Tate
• Taylor Talk Speech Therapy
• Elizabeth E Taylor, LPCA

• Dental Clinic/Center in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.