Individual provider Active NPI

Stephen William Mason, RT (R)

  • Radiography Radiologic Technologist
  • Maryland Heights, MO
National Provider Identifier
1487861233
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
338284 Issued in MN
Practice address
12384 Shoreridge CT
Apt F
Maryland Heights, MO 63043-2038
Phone
(804) 855-7602
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Computed Tomography Radiologic Technologist 2471C3401X 338284 MN
Radiography Radiologic Technologist 2471C3402X 338284 MN Primary

Addresses

Primary practice location

12384 Shoreridge CT
Apt F
Maryland Heights, MO 63043-2038

Mailing address

12384 Shoreridge CT
Apt F
Maryland Heights, MO 63043-2038
Phone (804) 855-7602

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

LicenseStateTypeSpecialty
338284MNMDComputed Tomography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487861233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12384 SHORERIDGE CT",
            "address_2": "APT F",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432038",
            "telephone_number": "804-855-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12384 SHORERIDGE CT",
            "address_2": "APT F",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432038",
            "telephone_number": "804-855-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "STEPHEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "RT (R)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "MN",
            "license": "338284",
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "MN",
            "license": "338284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.