NPIMap

Organization Active NPI

Jonathan E Mason DMD PC

Doing business as Richmond Dental

  • General Practice Dentistry
  • Richmond, VT
National Provider Identifier
1609516749
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JONATHAN E MASON DMD PC
Doing business as
Richmond Dental
Practice address
72 Bridge St
Richmond, VT 05477-4485
Phone
(802) 434-3700
NPI assigned
Mar 29, 2022
Last updated
Mar 29, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
JONATHAN E MASON DMD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Victoria Anne Johnson
Title
VP RCM
Phone
(919) 749-8482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

72 Bridge St
Richmond, VT 05477-4485

Mailing address

PO Box 43
Richmond, VT 05477-0043

Other names 1

  • Richmond Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mason Dental PC4 organizations share this tax ID, including this one
Part of
Mason Dental PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1609516749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054770043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 BRIDGE ST",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054774485",
            "telephone_number": "802-434-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN E MASON DMD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JONATHAN E MASON DMD PC",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "VP RCM",
        "authorized_official_telephone_number": "919-749-8482"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richmond Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.