DR. JORDAN THOMAS MASSON D.D.S.
NPI 1104072867
Dentist in Virginia Beach, VA

Active since August 13, 2008PECOS Enrolled
242 MUSTANG TRL, SUITE #9, VIRGINIA BEACH, VA 23452(757) 340-1153 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jordan Thomas Masson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JORDAN THOMAS MASSON D.D.S. (NPI 1104072867) is an individual dentist in Virginia Beach, Virginia, licensed in Virginia (0401412245) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104072867
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JORDAN THOMAS MASSONCredential: D.D.S.
Location Address242 MUSTANG TRL, SUITE #9Virginia Beach, VA 23452-7515
Mailing Address2533 Ships Watch CtVirginia Beach, VA 23451-1269 · (248) 410-0999
Sole ProprietorNo
Enumeration DateAugust 13, 2008
NPI 1104072867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in VA · 0401412245 Licensed in MI · 2901019784
Definition
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.
242 MUSTANG TRL, Virginia Beach, VA 23452

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jordan Thomas Masson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23452 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
242 MUSTANG TRL, SUITE 9
VIRGINIA BEACH, VA 23452
Dentist (General Practice)
242 MUSTANG TRL, SUITE #9
VIRGINIA BEACH, VA 23452

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Masson's NPI number?

The NPI number for Jordan Masson is 1104072867. It was assigned to this individual provider in the NPPES registry on August 13, 2008.

Where is Jordan Masson located?

Jordan Masson practices at 242 Mustang Trl Suite #9, Virginia Beach, VA 23452. The listed phone number is (757) 340-1153.

What is Jordan Masson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jordan Masson enrolled in Medicare?

Yes. Jordan Masson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Masson was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.