Carle Woodruff Mason Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3115 Issued in NC

Practice address

603 Nash St. W
Wilson, NC 27893-3059

Phone

(252) 291-6313

Fax

(252) 291-0391

NPI assigned

Aug 15, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912910233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 NASH ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933059",
            "telephone_number": "252-291-6313",
            "fax_number": "252-291-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NASH ST. W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933059",
            "telephone_number": "252-291-6313",
            "fax_number": "252-291-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "CARLE",
        "middle_name": "WOODRUFF",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-95485",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cornelius Devante Martin, DMD
• Leighanna Grace Martin, FNP-C
• Lewis Paul Martin, MD
• Melissa Martini, FNTP
• Mary'S Home
• Joi M Massey, PT, CWS
• Kimberly Clifton Massey, RPH, CDE
• Vaughn Mitchell Matacale, M.D.
• Sanjusha Elsy Mathew
• Judith McCall, CSAC

• General Practice Dentistry in Wilson, NC
• Providers in Wilson, NC by specialty
• General Practice Dentistry in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.