DR. TAYLOR THOMAS MASON (NPI# 1922552116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922552116 |
| Entity Type | Individual |
| Full Name | DR. TAYLOR THOMAS MASON |
| Credential | DMD |
| Practice Address |
10205 N Riva Ridge Loop Fort Drum NY 13602-5457 |
| Practice Telephone | (315) 772-6234 |
| Mailing Telephone | (315) 772-6234 |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2017-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9810 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114465507 | Taylor Re Mason | Chiropractor | 13860 Gleneagle Dr, Colorado Springs, CO 80921-3214 | 2017-02-06 |
| 1114567195 | Taylor Mason | Behavior Technician | 5215 N Sabino Canyon Rd, Tucson, AZ 85750-6435 | 2020-01-08 |
| 1386102580 | Taylor Mason | Marriage & Family Therapist | 1622 Mars Hill Rd, Watkinsville, GA 30677-4893 | 2019-03-06 |
| 1013414457 | Taylor Ann Mason | Behavior Technician | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2018-04-11 |
| 1689090318 | Taylor Mason | Occupational Therapist | 497 Main St, Suite E, Groton, MA 01450-1298 | 2014-03-05 |
| Street Address |
10205 N RIVA RIDGE LOOP |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602-5457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598755472 | Adam Ross Bushell | Dentist | 10205 N Riva Ridge Loop, Us Army Dental Activity, Attn: Credentials, Fort Drum, NY 13602-5457 | 2005-10-24 |
| 1558711010 | Tylen K Haderlie | Dentist | 10205 N Riva Ridge Loop, Fort Drum, NY 13602-5457 | 2016-06-15 |
| 1851650287 | Jessica Marie Southeard | Dental Hygienist | 10205 N Riva Ridge Loop, Fort Drum, NY 13602-5457 | 2012-05-04 |
| 1457556136 | Guthrie Ahc | Clinic/Center | 10205 N Riva Ridge Loop, Suite P10205, Fort Drum, NY 13602-5457 | 2007-06-20 |
| 1093920811 | Guthrie Ahc | Clinic/Center | 10205 N Riva Ridge Loop, Suite P10506, Fort Drum, NY 13602-5457 | 2007-05-14 |
| 1164637112 | Guthrie Ahc | Clinic/Center | 10205 N Riva Ridge Loop, Suite P36, Fort Drum, NY 13602-5457 | 2007-05-13 |
| 1164584397 | Gahcc-tpcp | Pharmacy | 10205 N Riva Ridge Loop, Fort Drum, NY 13602-5457 | 2006-12-14 |
| 1043294002 | Oscar B Hash | Dentist | 10205 N Riva Ridge Loop, Us Army Dental Activity Attn Credentials, Fort Drum, NY 13602-5005 | 2005-12-02 |
| 1275514341 | Richard Padron | Dentist | 10205 N Riva Ridge Loop, Us Army Dental Activity Attn Credentials, Fort Drum, NY 13602-5005 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| Find all providers in zip 13602 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801307012 | Caryn Shermetaro | Dentist | 10012 S Riva Ridge Loop, Fort Drum, NY 13602-5492 | 2017-10-14 |
| 1578621769 | Keith Jonathan Wilson | Dentist | 10590 Enduring Freedom Dr, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2006-12-04 |
| 1669087771 | Mitchell Garrett Lamb | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2020-09-15 |
| 1356955603 | Euris Miguel Mieses | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2020-09-03 |
| 1003464009 | Jacob Miller Allen | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2019-09-03 |
| 1568957694 | Sarah Marie Mcsherry | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2018-07-01 |
| 1366967663 | Kaleigh Marie Namiotka | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2017-08-08 |
| 1265976328 | Hye H Kim | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-12-08 |
| 1558711010 | Tylen K Haderlie | Dentist | 10205 N Riva Ridge Loop, Fort Drum, NY 13602-5457 | 2016-06-15 |
| 1497152409 | Spencer Joseph | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2014-11-20 |
| Find all providers in FORT DRUM | ||||
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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.