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DR. SHANE MICHAEL MASON D.D.S.
NPI 1164439733
Dentist - General Practice in Flower Mound, TX

Active since August 03, 2006Opted out of Medicare · through Jan 28, 2028
2612 LONG PRAIRIE RD, STE D, FLOWER MOUND, TX 75022(972) 221-8724(972) 221-5901 Get Directions Write a Review

NPPES record last updated: March 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shane Michael Mason D.d.s. NPPES

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

DR. SHANE MICHAEL MASON D.D.S. (NPI 1164439733) is an individual general practice provider in Flower Mound, Texas, licensed in Texas (21679) and active in the NPI registry since August 2006. He has opted out of Medicare through January 28, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164439733
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANE MICHAEL MASONCredential: D.D.S.
Location Address2612 LONG PRAIRIE RD, STE DFlower Mound, TX 75022-4839
Mailing Address2612 Long Prairie Rd, Ste DFlower Mound, TX 75022-4839 · (972) 221-8724 · Fax (972) 221-5901
Phone(972) 221-8724
Fax(972) 221-5901
Sole ProprietorYes
Enumeration DateAugust 3, 2006
Last NPPES UpdateMarch 8, 2010
✔ NPI 1164439733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 21679
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2612 LONG PRAIRIE RD, Flower Mound, TX 75022
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Shane Michael Mason D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 28, 2016 through January 28, 2028.

Opt-Out Effective DateJanuary 28, 2016
Opt-Out In Effect ThroughJanuary 28, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75022 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 17

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

HANNAH LYNN ESCAMILLA
Behavior Technician
2612 LONG PRAIRIE RD
FLOWER MOUND, TX 75022
Denton County (855) 782-7822
MR. MONTE LYLE GARREANS JR. RBT
Behavior Technician
2612 LONG PRAIRIE RD
FLOWER MOUND, TX 75022
Denton County (855) 782-7822
VICTORIA GERMAN
Behavior Technician
2612 LONG PRAIRIE RD
FLOWER MOUND, TX 75022
Denton County (972) 895-2365
MYRIAM SANDEZ CEBADOR
Behavior Technician
2612 LONG PRAIRIE RD
FLOWER MOUND, TX 75022
Denton County (855) 782-7822
BRENDA K JENNINGS DDS INC
Dentist
2612 LONG PRAIRIE RD, SUITE D
FLOWER MOUND, TX 75022
Denton County (972) 221-8724
EMILY SULLIVAN RBT-23-276899
Behavior Technician
2612 LONG PRAIRIE RD
FLOWER MOUND, TX 75022
Denton County (855) 782-7822
FREDDIE BRIM
Behavior Technician
2612 LONG PRAIRIE RD
FLOWER MOUND, TX 75022
Denton County (855) 782-7822
VICTORIA TREVINO
Behavior Technician
2612 LONG PRAIRIE RD
FLOWER MOUND, TX 75022
Denton County (855) 782-7822

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 Shane Mason's NPI number?

The NPI number for Shane Mason is 1164439733. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Shane Mason located?

Shane Mason practices at 2612 Long Prairie Rd Ste D, Flower Mound, TX 75022. The listed phone number is (972) 221-8724.

What is Shane Mason's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shane Mason enrolled in Medicare?

No. Shane Mason has opted out of Medicare through January 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shane Mason was last updated on March 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.