Mason O Miner DDS LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MASON O MINER DDS LLC

Practice address

72 Suttle St
Ste H
Durango, CO 81303

Phone

(970) 247-2677

Fax

(970) 382-9581

NPI assigned

Nov 15, 2005

Last updated

Oct 2, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

MASON O MINER DDS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Mason Miner, DDSNPI 1487049219

Title

Dentist/Owner

Phone

(970) 247-2677

Specialties & licenses 2

Addresses

Part of

Mason O Miner DDS LLC

Locations

Practitioners 1

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.

• Mason Miner, DDS

  • General Practice Dentistry
  • Durango, CO
  • NPI 1487049219

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1245212323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SUTTLE ST",
            "address_2": "STE H",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81303",
            "telephone_number": "970-247-2677",
            "fax_number": "970-382-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SUTTLE ST",
            "address_2": "STE H",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81303",
            "telephone_number": "970-247-2677",
            "fax_number": "970-382-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON O MINER DDS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASON O MINER DDS LLC",
        "enumeration_date": "2005-11-15",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "MASON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "970-247-2677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "8689",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alanda Sea Martin
• Gregory Albert Martin, MA
• Johanna B Martin, RN
• Marta D Martinez-Evans, MS, CAC III, NCAC
• Ryan Martyn
• Charles B Masters, MD
• John Mathers, DO
• Bethany Alaine Mathis, MSPO, CPO
• Christie Mattice, HAD,BC-HIS
• Paul A Mattox, MD

• Durable Medical Equipment & Medical Supplies in Durango, CO
• Providers in Durango, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.