GRANT S. MASON, DDS, INC. (NPI# 1326398470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326398470 |
| Entity Type | Organization |
| Organization Name | GRANT S. MASON, DDS, INC. |
| Other Organization Name | MASON DENTAL |
| Practice Address |
3906 Maccorkle Ave Se Charleston WV 25304-1633 |
| Practice Telephone | 3044004835 |
| Practice Fax Number | 6812058939 |
| Mailing Telephone | 3044004835 |
| Mailing Fax Number | 6812058939 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | DR. GRANT S MASON (PRESIDENT) |
| Authorized Official Telephone | 3044004835 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | GRANT S. MASON, DDS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 3235 | WV | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mason Dental | Doing Business As Name - Organization |
| Street Address |
3906 MACCORKLE AVE SE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215120068 | Grant S Mason Dds Inc | Dentist | 3906 Maccorkle Ave Se, Charleston, WV 25304-1633 | 2007-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407218332 | Alliance Sound Imaging LLC | Clinic/Center | 1535 Hobby Street North, Charleston, SC 29405-9441 | 2016-03-21 |
| 1053422790 | Medical University of South Carolina | Clinic/Center | 60 Barre St, Charleston, SC 29401-1106 | 2006-08-31 |
| 1083130520 | Regenmd, LLC | Clinic/Center | 764 Saint Andrews Blvd, Charleston, SC 29407-7168 | 2017-08-16 |
| 1962882415 | Hilton Acupuncture Ltd. Co. | Clinic/Center | 912 Savannah Hwy, Charleston, SC 29407-7802 | 2015-05-30 |
| 1699188029 | Preferred Family Medical Care LLC | Clinic/Center | 9026 Hiwassee St Ne, Charleston, TN 37310-5305 | 2014-06-03 |
| 1346404282 | Carnes Chiropractic | Clinic/Center | 307 40th St Se, Charleston, WV 25304-1621 | 2008-07-10 |
| 1740466986 | K4e-sc Chiropractic, PC | Clinic/Center | 310 Broad St, Suite 2e, Charleston, SC 29401-1200 | 2008-01-17 |
| 1912180860 | Medical University Hospital Authority | Clinic/Center | 169 Ashley Ave, Charleston, SC 29425-5836 | 2007-12-14 |
| 1861680761 | Robert E Peyser Md Pa | Clinic/Center | 1637 Savannah Hwy, Charleston, SC 29407 | 2007-10-05 |
| 1770790396 | Charleston Area Medical Center | Clinic/Center | 3200 Maccorkle Ave Se, Suite 906 Employee Health, Charleston, WV 25304-1227 | 2007-05-16 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.