NPIMap

Organization Active NPI

Robert a. Mason DMD PA

  • General Practice Dentistry
  • Fort Smith, AR
National Provider Identifier
1255430401
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2442 Issued in AR
Legal business name
ROBERT A. MASON DMD PA
Practice address
609 S 21St St
Fort Smith, AR 72901-3914
Phone
(479) 782-5686
Fax
(479) 783-7063
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert A Mason, DMDNPI 1427072230
Title
Dentist
Phone
(479) 782-5686

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 SINGLE SPECIALTY GROUP 1223G0001X 2442 AR Primary

Addresses

Primary practice location

609 S 21St St
Fort Smith, AR 72901-3914

Mailing address

609 S 21St St
Fort Smith, AR 72901-3914
Phone (479) 782-5686

Other identifiers 3

IdentifierTypeStateIssuer
832815OtherARUNITED CONCORDIA
90643000040OtherARQUAL CHOICE
58927OtherARBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

609 S 21st St
Fort Smith, AR 72901
Phone (479) 782-5686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255430401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S 21ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013914",
            "telephone_number": "479-782-5686",
            "fax_number": "479-783-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S 21ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013914",
            "telephone_number": "479-782-5686",
            "fax_number": "479-783-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. MASON DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-782-5686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "832815",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "90643000040",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "58927",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.