Organization Active NPI

Michael D. Mason DDS

  • General Practice Dentistry
  • Parkersburg, WV
National Provider Identifier
1407060270
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2260 Issued in WV
Legal business name
MICHAEL D. MASON DDS
Practice address
99 Rosemar Rd
Parkersburg, WV 26104-7657
Phone
(304) 424-3884
Fax
(304) 424-3973
NPI assigned
May 10, 2007
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
Michael David Mason, DDSNPI 1265561484
Title
Dentist
Phone
(304) 424-3884

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 2260 WV Primary

Addresses

Primary practice location

99 Rosemar Rd
Parkersburg, WV 26104-7657

Mailing address

99 Rosemar Rd
Parkersburg, WV 26104-7657
Phone (304) 424-3884

National Provider Directory

National Provider Directory

Locations

99 Rosemar Rd
Parkersburg, WV 26104
Phone (304) 424-3884

Practitioners & affiliated clinicians

Practitioners 3

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407060270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ROSEMAR RD",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261047657",
            "telephone_number": "304-424-3884",
            "fax_number": "304-424-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 ROSEMAR RD",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261047657",
            "telephone_number": "304-424-3884",
            "fax_number": "304-424-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. MASON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "304-424-3884",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

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.