Grant Sherwood Mason, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3235 Issued in WV

Practice address

220 Professional Park
Beckley, WV 25801-3624

Phone

(304) 252-7311

Fax

(304) 252-7312

NPI assigned

Aug 31, 2006

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

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.

Opted out of Medicare

Yes, effective May 23, 2016 through May 23, 2028

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.

• Grant S Mason DDS Inc

  • Dentist
  • Charleston, WV
  • NPI 1215120068
  NPD (past) Authorized official
• Grant S. Mason, DDS, Inc.

  • Clinic/Center
  • Charleston, WV
  • NPI 1326398470
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912019571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PROFESSIONAL PARK",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013624",
            "telephone_number": "304-252-7311",
            "fax_number": "304-252-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PROFESSIONAL PARK",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013624",
            "telephone_number": "304-252-7311",
            "fax_number": "304-252-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "GRANT",
        "middle_name": "SHERWOOD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Martin
• Rebecca Martinez
• Chelsey Martino
• Mary E McKelvey MD Inc
• Farina Maryam
• Tytus Mason
• Billy Massey
• Haley Massey
• Karen Massey
• Natasha Massey

• General Practice Dentistry in Beckley, WV
• Providers in Beckley, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.