Christopher Mason Payne

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4472 Issued in WV

Practice address

115 S Charles St
Charles Town, WV 25414-1613

Phone

(304) 725-4492

NPI assigned

Jun 25, 2020

Last updated

Mar 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard Diaz, DDS Inc.

  • General Practice Dentistry
  • Charles Town, WV
  • NPI 1700807856
  NPD (past)
• St. George Medical Clinic Inc.

  • Federally Qualified Health Center (FQHC)
  • Parsons, WV
  • NPI 1497853600
  NPD (past)
• Laura Duhring DDS PLLC

  dba Round Hill Smile Design

  • Dental Clinic/Center
  • Round Hill, VA
  • NPI 1275108508
  NPD (past)

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1538785522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 WARM SPRINGS RD",
            "city": "SHENANDOAH JUNCTION",
            "state": "WV",
            "postal_code": "254424781",
            "telephone_number": "304-707-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S CHARLES ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141613",
            "telephone_number": "304-725-4492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Crestview Drive",
            "address_purpose": "LOCATION",
            "city": "Hambleton",
            "state": "WV",
            "postal_code": "26269",
            "country_code": "US",
            "telephone_number": "304-478-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 W Loudoun St",
            "address_purpose": "LOCATION",
            "city": "Round HIll",
            "state": "VA",
            "postal_code": "20141",
            "country_code": "US",
            "telephone_number": "540-338-0046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "CHRISTOPHER",
        "middle_name": "MASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Pallay, DMD
• Hunter Logan Palmer, DDS
• Amy Papavero, RN
• Maryjo Vera Parsley, PROVISIONAL LPC
• Deborah Paul
• Shirley Penwell
• Anthony Perry, PT, DPT
• Julie Pitt, MOT
• Grace Pretre
• Kirsten Daniell Pritt

• General Practice Dentistry in Charles Town, WV
• Providers in Charles Town, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.