Individual provider Active NPI

Lori Ann Mason, D.D.S.

  • General Practice Dentistry
  • Parkersburg, IA
National Provider Identifier
1386667418
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08331 Issued in IA
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
0464107MedicaidIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150506002364 IA Order and Referring Only - Oral SurgeryPractitioner - 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

Sources for this page

Verify at the official NPI Registry.