Organization Active NPI

DRS. Mason & Mason

  • Dental Clinic/Center
  • Mount Pulaski, IL
National Provider Identifier
1457497166
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DRS. MASON & MASON
Practice address
117 N Lafayette St
Mount Pulaski, IL 62548-1263
Phone
(217) 792-5060
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Paul MasonNPI 1225184054
Title
General Partner
Phone
(217) 792-5060

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

117 N Lafayette St
Mount Pulaski, IL 62548-1263

Mailing address

117 N Lafayette St
Mount Pulaski, IL 62548-1263
Phone (217) 792-5060

Other identifiers 1

IdentifierTypeStateIssuer
101290MedicaidIL

National Provider Directory

National Provider Directory

Locations

117 N Lafayette St
Mount Pulaski, IL 62548
Phone (217) 792-5060

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457497166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N LAFAYETTE ST",
            "city": "MOUNT PULASKI",
            "state": "IL",
            "postal_code": "625481263",
            "telephone_number": "217-792-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N LAFAYETTE ST",
            "city": "MOUNT PULASKI",
            "state": "IL",
            "postal_code": "625481263",
            "telephone_number": "217-792-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. MASON & MASON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "217-792-5060"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101290",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pulaski, IL

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.