Active NPI
Trevor Tarek Mason, DMD
- Dentist
- Lubbock, TX
National Provider Identifier
1437871076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42249
- Practice address
- 11824 Indiana Ave Ste 200
Lubbock, TX 79423-1884 - Phone
- (806) 855-3942
- NPI assigned
- Sep 12, 2022
- Reactivated
- Apr 20, 2023
- Last updated
- Jul 31, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 42249 | TX | Primary |
Addresses
Primary practice location
11824 Indiana Ave Ste 200
Lubbock, TX 79423-1884
Mailing address
4803 15TH St
Lubbock, TX 79416-5617
Phone (806) 543-8107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859636 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1437871076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4803 15TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794165617",
"telephone_number": "806-543-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11824 INDIANA AVE STE 200",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231884",
"telephone_number": "806-855-3942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "TREVOR",
"middle_name": "TAREK",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-12",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"deactivation_date": "2023-04-11",
"reactivation_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "42249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.