Thomas Keaton Mash, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10356 Issued in NC

Practice address

122 Wilkesboro Ave
N Wilkesboro, NC 28659-4218

Phone

(336) 667-4143

NPI assigned

Jun 1, 2016

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• T. Keaton Mash, DMD, PLLC

  • Dental Clinic/Center
  • North Wilkesboro, NC
  • NPI 1205328119
  NPD Authorized official
• Robert F Ricketts, DDS, PA

  • General Practice Dentistry
  • North Wilkesboro, NC
  • NPI 1518081504
  NPD (past)

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1407204340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WILKESBORO AVE",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594218",
            "telephone_number": "336-667-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WILKESBORO AVE",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286594218",
            "telephone_number": "336-667-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASH",
        "first_name": "THOMAS",
        "middle_name": "KEATON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colette Elaine Orr Kitler
• Mary Jane Lewis, CRNA
• Lincare Inc.
• Robin Maroulakis, RD
• Roger Martin
• John Kenny McLarney, M.D.
• Bruce Dwayne Monks, CRNA
• Gary C Nash, O.D.
• Noations Dba (The Villages of Wilkes Trad. Liv. Inc.)
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #03525)

• General Practice Dentistry in N Wilkesboro, NC
• Providers in N Wilkesboro, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.