Taylor Mast, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

13233 Issued in NC

Practice address

1124 Gallery PK Blvd
Ste 101
Wilmington, NC 28412

Phone

(910) 218-1222

NPI assigned

May 4, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Taylor Mast, DMD, PLLC

  • General Practice Dentistry
  • Wilmington, NC
  • NPI 1518825470
  NPD Authorized official

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1700575701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 GALLERY PK BLVD",
            "address_2": "STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 GALLERY PK BLVD",
            "address_2": "STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28412",
            "telephone_number": "910-218-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "TAYLOR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masonboro Family Medicine, P.C.
• Masonboro Medical Group, PC
• Masonboro Urgent Care, PC
• Hannah Maliha Masoud, M.D.
• Marissa Massey, RBT
• Michael Rocco Mastrangelo, MD
• Paul Anthony Mastrovito, LCSW
• Thomas Elwin Mates, PHD
• Rano Thomas Mathew, MD
• Ted Mathew, M.D.

• Dentist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.