Organization Active NPI

Brent H. Mason, DDS, PC

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1508874496
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5288 Issued in AZ
Legal business name
BRENT H. MASON, DDS, PC
Practice address
855 E Brown Rd
#1
Mesa, AZ 85203-4958
Phone
(480) 969-2991
Fax
(480) 644-1149
NPI assigned
Aug 4, 2006
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
Dr. Brent Harris Mason, DDSNPI 1932319373
Title
President
Phone
(480) 969-2991

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D5288 AZ Primary

Addresses

Primary practice location

855 E Brown Rd
#1
Mesa, AZ 85203-4958

Mailing address

855 E Brown Rd
#1
Mesa, AZ 85203-4958
Phone (480) 969-2991

National Provider Directory

National Provider Directory

Locations

855 E Brown Rd
Ste 1
Mesa, AZ 85203
Phone (480) 969-2991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508874496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E BROWN RD",
            "address_2": "#1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034958",
            "telephone_number": "480-969-2991",
            "fax_number": "480-644-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E BROWN RD",
            "address_2": "#1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034958",
            "telephone_number": "480-969-2991",
            "fax_number": "480-644-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT H. MASON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-969-2991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

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.