DR. JODI EVE MASON (NPI# 1932317922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932317922 |
| Entity Type | Individual |
| Full Name | DR. JODI EVE MASON |
| Other Name | DR. JODI EVE FAIR |
| Credential | DMD |
| Practice Address |
2008 Riverside Ave Suite 101 Jacksonville FL 32204-4443 |
| Practice Telephone | 9043723260 |
| Practice Fax Number | 9043853704 |
| Mailing Telephone | 9043723260 |
| Mailing Fax Number | 9043853704 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2016-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
24122 | TX | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN17658 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 282514301 | 05 | |
| FL | 076760300 | 05 |
| Street Address |
2008 RIVERSIDE AVE SUITE 101 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285189860 | Define Wellness Chiropractic and Functional Medicine | Chiropractor | 2008 Riverside Ave, Suite 300, Jacksonville, FL 32204-4443 | 2016-08-24 |
| 1942698204 | Bean Sprout Inc | Clinic/Center | 2008 Riverside Ave, Suite 101, Jacksonville, FL 32204-4443 | 2015-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558701177 | Richard W Blake Dds Pa | Dentist | 943 Cesery Blvd Ste D, Jacksonville, FL 32211-5655 | 2013-06-27 |
| 1336405315 | Matthew Allen Swan | Dentist | 3714 Heath Rd Fl 32277, Jacksonville, FL 32277-2045 | 2012-04-04 |
| 1215208947 | Culberson R Boren Dds | Dentist | 1634 S Jackson St, Jacksonville, TX 75766-3028 | 2012-01-26 |
| 1871755512 | Barry Philip Setzer | Dentist | 8355 Bayberry Rd, Jacksonville, FL 32256-4427 | 2008-06-25 |
| 1639370216 | Thomas Arch Pribisco | Dentist | 10822 Saint Augustine Rd, Jacksonville, FL 32257-1154 | 2007-05-30 |
| 1679606768 | Marzieh Zahedi | Dentist | 14453 Beach Blvd, Suite 100, Jacksonville, FL 32250 | 2007-03-14 |
| 1780734251 | Jila J Mahajan | Dentist | 4495 Roosevelt Blvd Ste 111, Jacksonville, FL 32210-3382 | 2007-01-10 |
| 1558467498 | Barry P Setzer Dds and Stephen D Cochran Dmd Pa | Dentist | 8355 Bayberry Road, Jacksonville, FL 32256 | 2006-09-16 |
| 1912014937 | Pediatric Smiles, Inc | Dentist | 2262 Dunn Ave, Ste 4, Jacksonville, FL 32218 | 2006-08-24 |
| 1558477414 | Staci Suggs | Dentist | 1651 Southside Connector Blvd., #1, Jacksonville, FL 32225 | 2006-08-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
Please comment or provide details below to improve the information on DR. JODI EVE MASON.
| 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.