Active NPI
James L. Mast, DDS, PC
- General Practice Dentistry
- Flagstaff, AZ
National Provider Identifier
1548394976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1905
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Lee Mast, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Flagstaff, AZ
- NPI 1689675571
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.