Mason Klerks, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1859903 Issued in MA

Practice address

228 Washington St Ste a-140
Attleboro, MA 02703-5561

Phone

(774) 206-5592

NPI assigned

Aug 10, 2023

Last updated

Aug 10, 2023By 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

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1346923976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WESTINGHOUSE PLZ UNIT C327",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 WASHINGTON ST STE A-140",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027035561",
            "telephone_number": "774-206-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLERKS",
        "first_name": "MASON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Kessler
• Tracey Kiley, OT
• Caitlin Kilmartin
• Macayla Leigh Kirylo
• Ashley Kleamenakis, LMHC
• Rebecca Joy Klink
• Jack Wyatt Klitzner
• Pamela Dianne Knieriem, LICSW
• Stephanie Laura Knox, LMHC
• Taylor Agnes Kofton

• Dentist in Attleboro, MA
• Providers in Attleboro, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.