Masonpark Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MASONPARK DENTAL PLLC

Practice address

21830 Kingsland Blvd Ste 104a
Katy, TX 77450-2500

Phone

(281) 578-7100

NPI assigned

Oct 20, 2021

Organization subpart

No

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

Authorized official

Name

William Sung, DMDNPI 1104114586

Title

Owner Dentist

Phone

(617) 444-9497

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• William Sung, DMD

  • Dentist
  • Richmond, TX
  • NPI 1104114586
  NPD Authorized official

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1861155491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21830 KINGSLAND BLVD STE 104A",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502500",
            "telephone_number": "281-578-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21830 KINGSLAND BLVD STE 104A",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502500",
            "telephone_number": "281-578-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASONPARK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "617-444-9497",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christina Marie Mason
• Jelanta Mason, RBT
• Lindsay Marie Mason, FNP-C
• Nacarian Mass
• Maria Susana Massey, LSA
• Elvis L Massip-Perez, MD
• Master Cardiology PA
• Christine R Masters, MS, LMFT

• Dentist in Katy, TX
• Providers in Katy, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.