Active NPI
Mason Bradley Yeary, DDS
- General Practice Dentistry
- Plano, TX
National Provider Identifier
1568510329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14381
- Practice address
- 1312 Village Creek Dr
#1100
Plano, TX 75093-4467 - Phone
- (972) 231-7216
- Fax
- (972) 234-0390
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14381 | TX | Primary |
Addresses
Primary practice location
1312 Village Creek Dr
#1100
Plano, TX 75093-4467
Mailing address
1312 Village Creek Dr
#1100
Plano, TX 75093-4467
Phone (972) 231-7216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14381 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1568510329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 VILLAGE CREEK DR",
"address_2": "#1100",
"city": "PLANO",
"state": "TX",
"postal_code": "750934467",
"telephone_number": "972-231-7216",
"fax_number": "972-234-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 VILLAGE CREEK DR",
"address_2": "#1100",
"city": "PLANO",
"state": "TX",
"postal_code": "750934467",
"telephone_number": "972-231-7216",
"fax_number": "972-234-0390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEARY",
"first_name": "MASON",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "14381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.