NPIMap

Organization Active NPI

Dr Mason DMD Inc

  • Dental Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1629240486
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DD2155 Issued in NM
Legal business name
DR MASON DMD INC
Practice address
7007 Wyoming Blvd NE
Suite B-2
Albuquerque, NM 87109-3987
Phone
(505) 821-1430
Fax
(505) 821-1442
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Brenton M Mason, DMDNPI 1336138031
Title
President
Phone
(505) 821-1430

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 Clinic/Center 261QD0000X DD2155 NM Primary

Addresses

Primary practice location

7007 Wyoming Blvd NE
Suite B-2
Albuquerque, NM 87109-3987

Mailing address

7007 Wyoming Blvd NE
Suite B-2
Albuquerque, NM 87109-3987
Phone (505) 821-1430

Other identifiers 1

IdentifierTypeStateIssuer
15740MedicaidNM

Other names 1

  • Dr. Brenton Mason Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1629240486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 WYOMING BLVD NE",
            "address_2": "SUITE B-2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093987",
            "telephone_number": "505-821-1430",
            "fax_number": "505-821-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 WYOMING BLVD NE",
            "address_2": "SUITE B-2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093987",
            "telephone_number": "505-821-1430",
            "fax_number": "505-821-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MASON DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "BRENTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-821-1430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "DD2155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15740",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Brenton Mason",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.