Larissa Mastro, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7008 Issued in NC

Practice address

211 Rock Barn Rd NE
Conover, NC 28613-1709

Phone

(828) 464-6742

NPI assigned

Oct 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 NC

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Larissa M. Mastro, DDS, P.a.

  • Dentist
  • Conover, NC
  • NPI 1205001757
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932299120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ROCK BARN RD NE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286131709",
            "telephone_number": "828-464-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ROCK BARN RD NE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286131709",
            "telephone_number": "828-464-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRO",
        "first_name": "LARISSA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn B Lyda, CPO
• Tynecca Gail Lynch, LCSW
• Girish N Makwana, M.D.
• Alyssa Ann Mallard, DNP/FNP
• Mark A Marieb, M.D.
• Jessica Mateyunas
• Maxim Habilitation Services, LLC
• Jennifer McCandless, PHARMD
• Sloan Andrew Meadows, DDS
• Meaningful Connections Counseling, PLLC

• Dentist in Conover, NC
• Providers in Conover, NC by specialty
• Dentist 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.
• 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.