Organization Active NPI

David M. Mastro

  • General Practice Dentistry
  • Roswell, GA
National Provider Identifier
1841404639
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8061 Issued in GA
Legal business name
DAVID M. MASTRO
Practice address
800 Mansell Rd
Suite B
Roswell, GA 30076-1504
Phone
(770) 642-9900
Fax
(770) 642-9975
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David M. Mastro, D.D.S.NPI 1083058390
Title
Dentist
Phone
(770) 642-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8061 GA Primary

Addresses

Primary practice location

800 Mansell Rd
Suite B
Roswell, GA 30076-1504

Mailing address

800 Mansell Rd
Suite B
Roswell, GA 30076-1504
Phone (770) 642-9900

National Provider Directory

National Provider Directory

Locations

800 Mansell Rd
Ste B
Roswell, GA 30076
Phone (770) 642-9900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841404639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MANSELL RD",
            "address_2": "SUITE B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761504",
            "telephone_number": "770-642-9900",
            "fax_number": "770-642-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MANSELL RD",
            "address_2": "SUITE B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761504",
            "telephone_number": "770-642-9900",
            "fax_number": "770-642-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. MASTRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASTRO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-642-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.