Individual provider Active NPI

Mason Robert Duff, D.M.D.

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1912380577
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6643 Issued in NV
Practice address
10670 Dean Martin Dr Ste 100
Las Vegas, NV 89141-3597
Phone
(702) 680-1120
Fax
(702) 680-1118
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6643 NV Primary

Addresses

Primary practice location

10670 Dean Martin Dr Ste 100
Las Vegas, NV 89141-3597

Mailing address

9061 W Post Rd
Las Vegas, NV 89148-2411
Phone (702) 434-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Dentistry - Dr Duff, PLLC CurrentSince Oct 17, 2021 Accepting new patients
Dental Implant Specialists of Nevada - Willardsen, PC PastSince May 18, 2025 Accepting new patients

Locations

10670 Dean Martin Dr
Ste 100
Las Vegas, NV 89141
Phone (702) 680-1120

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1912380577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9061 W POST RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482411",
            "telephone_number": "702-434-4800",
            "fax_number": "702-433-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 DEAN MARTIN DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413597",
            "telephone_number": "702-680-1120",
            "fax_number": "702-680-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "MASON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.