Mark Mast, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS042232 Issued in PA

Practice address

1261 Division Hwy
Ephrata, PA 17522-8822

Phone

(717) 738-1353

NPI assigned

Jun 18, 2019

Last updated

Dec 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Heart Group of Lancaster General Health

  • Cardiovascular Disease Physician
  • Lancaster, PA
  • NPI 1760793210
  NPD
• Snyder Eyecare of Ephrata LLC

  • Optometrist
  • Ephrata, PA
  • NPI 1952777112
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1700446044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 LITITZ PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013802",
            "telephone_number": "540-820-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 DIVISION HWY",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175228822",
            "telephone_number": "717-738-1353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Elizabeth St # 6",
            "address_purpose": "LOCATION",
            "city": "Towanda",
            "state": "PA",
            "postal_code": "18848",
            "country_code": "US",
            "telephone_number": "570-265-2069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAST",
        "first_name": "MARK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Noelle Martin, MS CCCSLP
• Jane W Martin, CHC
• Judith N Martin
• Nicole Martin, PTA
• Nicholas V Martino Jr., PSYD
• Jessica Mastrangelo, LPC
• Moriah Lee Mathews
• Sarah Maurice, DO
• Ashley Maurizi
• Jacob Maxwell

• Dentist in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.