Mason Bishop, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4409 Issued in WV

Practice address

402 Red Oak St
Summersville, WV 26651-1000

Phone

(304) 872-5600

NPI assigned

Sep 30, 2019

Last updated

Jul 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Dr. Robert Fletcher, D.D.S., Inc.

  dba Fletcher and Fletcher Dentistry

  • Dental Clinic/Center
  • Summersville, WV
  • NPI 1205917762
  NPD (past)

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1245871326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 TURNPIKE RD STE 201",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511378",
            "telephone_number": "304-619-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 RED OAK ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511000",
            "telephone_number": "304-872-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Butler Ave",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254059991",
            "country_code": "US",
            "telephone_number": "304-263-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MASON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-30",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kay Bennett
• Brenna Leann Bennett
• Tina Lee Bennett
• Bonnie Sue Bess
• Danielle Billops
• John Vayden Blake, PA
• Sanda Blayney
• Whitney Boggs, M.D.
• Judith Boley
• Howard Stephen Boone, R.PH.

• General Practice Dentistry in Summersville, WV
• Providers in Summersville, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.