Individual provider Active NPI

Olivia Ann Mason, DDS

  • General Practice Dentistry
  • Wellsburg, WV
National Provider Identifier
1255957445
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4471 Issued in WV
Practice address
1512 Commerce St
Wellsburg, WV 26070-1323
Phone
(304) 238-8680
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4471 WV Primary

Addresses

Primary practice location

1512 Commerce St
Wellsburg, WV 26070-1323

Mailing address

102 Border LN
Wheeling, WV 26003-7182
Phone (304) 238-8680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200727001481 WV Order and Referring Only - DentistPractitioner - Dentist 9739503590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4471WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Almost Heaven Family Dentistry, PLLC Current Accepting new patients

Locations

1512 Commerce St
Wellsburg, WV 26070
Phone (304) 234-8700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1255957445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BORDER LN",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260037182",
            "telephone_number": "304-238-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 COMMERCE ST",
            "city": "WELLSBURG",
            "state": "WV",
            "postal_code": "260701323",
            "telephone_number": "304-238-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "OLIVIA",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsburg, WV

Sources for this page

Verify at the official NPI Registry.