Carle W. Mason DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3115 Issued in NC

Legal business name

CARLE W. MASON DDS PA

Practice address

603 Nash St W
Wilson, NC 27893-3059

Phone

(252) 291-6313

Fax

(252) 291-0391

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carle Woodruff Mason Jr., DDS

Title

President

Phone

(252) 291-6313

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• C.W.Mason DDS PA Other name

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1831270081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 NASH ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933059",
            "telephone_number": "252-291-6313",
            "fax_number": "252-291-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NASH ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933059",
            "telephone_number": "252-291-6313",
            "fax_number": "252-291-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLE W. MASON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CARLE",
        "authorized_official_middle_name": "WOODRUFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-291-6313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "3115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995485",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C.W.Mason DDS PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dental Clinic/Center in Wilson, NC
• Providers in Wilson, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.