Kevin Thomas Maskell, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8446 Issued in AZ

Practice address

2471 N Country Club Rd
Tucson, AZ 85716-2503

Phone

(520) 327-5661

Fax

(520) 325-6557

NPI assigned

Mar 4, 2012

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

Enrolled in NV

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• KM Dental LLC

  • Dental Clinic/Center
  • Tucson, AZ
  • NPI 1144975632
  NPD Authorized official
• Richard V. Escobar, D.D.S., P.C.

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1740359835
  NPD (past)
• TBD III, PLLC

  • Dental Clinic/Center
  • Tucson, AZ
  • NPI 1285104877
  NPD (past)

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

{
    "created_epoch": "1330819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1801160197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162503",
            "telephone_number": "520-327-5661",
            "fax_number": "520-325-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162503",
            "telephone_number": "520-327-5661",
            "fax_number": "520-325-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASKELL",
        "first_name": "KEVIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-04",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "8446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Oconnell PT LLC
• Mary Jane Pringle
• Mary Margaret Jones MD PC
• Manuel Mascarenas, P. A.
• Jasmine Mascarenes, D.P.T
• Emily R Mason, DPT
• Emily Susan Mason, RDN
• Marsha Mason, MD
• McKenzie Mason, BCBA
• Randall P Mason, M.D.

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.