Michael Edric Mason, D.M.D., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN17505 Issued in FL

Practice address

13047 W Linebaugh Ave
Ste 102
Tampa, FL 33626-4487

Phone

(813) 814-7649

Fax

(813) 814-7958

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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 FL

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

Credentials

Master of Science

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21490/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1891809463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13047 W LINEBAUGH AVE",
            "address_2": "STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264487",
            "telephone_number": "813-814-7649",
            "fax_number": "813-814-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13047 W LINEBAUGH AVE",
            "address_2": "STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264487",
            "telephone_number": "813-814-7649",
            "fax_number": "813-814-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "MICHAEL",
        "middle_name": "EDRIC",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN17505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Mason, COTA/L
• Marie Deshon Mason, LCSW
• Mark T Mason, PHARM.D,
• Mary Mason
• Mekka Simone Mason
• Tessa Mason, LCSW
• Zachary Mason
• Akram Masood, OD
• Pamela Masoud, MD
• Massage & Healing Center, LLC

• Endodontics in Tampa, FL
• Providers in Tampa, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.