Organization Active NPI

James L. Mast, DDS, PC

  • General Practice Dentistry
  • Flagstaff, AZ
National Provider Identifier
1548394976
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1905 Issued in AZ
Legal business name
JAMES L. MAST, DDS, PC
Practice address
3011 N West St
Flagstaff, AZ 86004-3444
Phone
(928) 774-2997
Fax
(928) 556-9545
NPI assigned
Mar 15, 2007
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. James Lee Mast, DDSNPI 1689675571
Title
President
Phone
(928) 774-2997

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 1905 AZ Primary

Addresses

Primary practice location

3011 N West St
Flagstaff, AZ 86004-3444

Mailing address

3011 N West St
Flagstaff, AZ 86004-3444
Phone (928) 774-2997

National Provider Directory

National Provider Directory

Locations

3011 N West St
Flagstaff, AZ 86004
Phone (928) 214-8793

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548394976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 N WEST ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043444",
            "telephone_number": "928-774-2997",
            "fax_number": "928-556-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 N WEST ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043444",
            "telephone_number": "928-774-2997",
            "fax_number": "928-556-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L. MAST, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAST",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-774-2997",
        "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": "1905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, 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.