Mason Dale Borth, D.D.S., M.S.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

33858 Issued in TX

Practice address

7859 Walnut Hill LN Ste 275
Dallas, TX 75230-5642

Phone

(214) 361-4528

Fax

(214) 361-4560

NPI assigned

Jun 19, 2019

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

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.

• Choate and Borth Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dallas, TX
  • NPI 1811269582
  NPD (past) Authorized official

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1821658972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7859 WALNUT HILL LN STE 275",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305642",
            "telephone_number": "214-361-4528",
            "fax_number": "214-361-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7859 WALNUT HILL LN STE 275",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305642",
            "telephone_number": "214-361-4528",
            "fax_number": "214-361-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTH",
        "first_name": "MASON",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "33858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Louis Borok, MD
• Nilly Borovoy, DDS
• Kelli Borowczak, PAC
• Vicki A Borowski, D.D.S
• Chandler Choate Borth, DDS
• Haley Bortnem
• Julia Bortolasi Guimaraes
• Cristopher Lynn Borunda
• Julie Nelson Borus, MS, RDN, LD
• Zachary Alexander Borynack, PHD

• Orthodontics and Dentofacial Orthopedics Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.