Individual provider Active NPI

William Edward Mason, D.D.S., M.S.

  • Periodontics
  • Saginaw, MI
National Provider Identifier
1710039177
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2901012825 Issued in MI
Practice address
205 N Colony Dr
Saginaw, MI 48638-7101
Phone
(989) 792-4431
Fax
(989) 792-4388
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 2901012825 MI Primary

Addresses

Primary practice location

205 N Colony Dr
Saginaw, MI 48638-7101

Mailing address

205 N Colony Dr
Saginaw, MI 48638-7101
Phone (989) 792-4431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141103001214 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4789734120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901012825MIMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
William E Mason DDS Ms PC Periodontics CurrentSince Jan 1, 1990 Accepting new patients
Monica a Lamble DDS Ms PLLC PastSince Jul 17, 2022 Accepting new patients

Locations

205 N Colony Dr
Saginaw, MI 48638
Phone (989) 792-4431

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1710039177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N COLONY DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486387101",
            "telephone_number": "989-792-4431",
            "fax_number": "989-792-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N COLONY DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486387101",
            "telephone_number": "989-792-4431",
            "fax_number": "989-792-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901012825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.