Active NPI
Lori Ann Mason, D.D.S.
- General Practice Dentistry
- Parkersburg, IA
National Provider Identifier
1386667418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08331
- Practice address
- 807 Lincoln St
Parkersburg, IA 50665-1023 - Phone
- (319) 553-1193
- Fax
- (319) 553-1195
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 08331 | IA | Primary |
Addresses
Primary practice location
807 Lincoln St
Parkersburg, IA 50665-1023
Mailing address
205 Oak Park Cir
Parkersburg, IA 50665-1062
Phone (319) 553-1189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0464107 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150506002364 | IA | Order and Referring Only - Oral Surgery | 8628253663 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386667418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 OAK PARK CIR",
"city": "PARKERSBURG",
"state": "IA",
"postal_code": "506651062",
"telephone_number": "319-553-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 LINCOLN ST",
"city": "PARKERSBURG",
"state": "IA",
"postal_code": "506651023",
"telephone_number": "319-553-1193",
"fax_number": "319-553-1195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "08331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0464107",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, IA
- Iowa Physicians Clinic Medical Foundation (Aplington-Parkersburg Family Practice)
- Just This Moment Mindful Psychotherapy PLLC (Just This Moment Mindful Psychotherapy)
- Elizabeth Ann Kehret, MA, IBCLC, CLD
- John Paul Lilienthal
- Katie Lea Lindeman, DPT
- Mid West Medical Alert
- Madelyn Mae Nederhoff, DPT
- Canzadie Autumn Ozbourne Nigro, LMHC, LPC
- Parkersburg Chiropractic, P.C.
- Brandy M Reints, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.