Organization Active NPI

Mason Dental Hygiene Group

  • Dental Hygienist
  • Canyon Lake, CA
National Provider Identifier
1548748635
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HAP622 Issued in CA
Legal business name
MASON DENTAL HYGIENE GROUP
Practice address
30168 Point Marina Dr
Canyon Lake, CA 92587-7411
Phone
(602) 299-0584
NPI assigned
Aug 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Amy Lynn Mason, RDHAPNPI 1720633027
Title
President
Phone
(602) 299-0584

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
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X HAP622 CA Primary

Addresses

Primary practice location

30168 Point Marina Dr
Canyon Lake, CA 92587-7411

Mailing address

30168 Point Marina Dr
Canyon Lake, CA 92587-7411
Phone (602) 299-0584

Other names 1

  • Mason Dental Hygiene Group Doing business as

National Provider Directory

National Provider Directory

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": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1548748635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30168 POINT MARINA DR",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925877411",
            "telephone_number": "602-299-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30168 POINT MARINA DR",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925877411",
            "telephone_number": "602-299-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON DENTAL HYGIENE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-299-0584",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason Dental Hygiene Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canyon Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.