Active NPI
DRS. Mason & Mason
- Dental Clinic/Center
- Mount Pulaski, IL
National Provider Identifier
1457497166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Mason
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101290 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Mount Pulaski, IL
- NPI 1225184054
-
- General Practice Dentistry
- Mount Pulaski, IL
- NPI 1538215959
-
- Dentist
- Mount Pulaski, IL
- NPI 1518451079
-
- Dentist
- Mount Pulaski, IL
- NPI 1710391222
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
- Laura J. Amidon, N.P.
- Aussieker Graue Rohrer LLC (Mt Pulaski Pharmacy)
- Melissa Behl, COTA/L
- Brittany N Burchi
- Hannah Capranica
- Henry & Jane Vonderlieth Living Center Inc (The H & J Vonderlieth LVG CTR)
- Henry & Jane Vonderlieth Living Center, Inc (Henry & Jane Vonderlieth Living Center)
- Howe Bethesda Medical LLC
- Jac Stores Inc (Sav Mor Pharmacy)
- Bruce E. Mason
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.