MASON PIRTLE DDS
NPI 1730649625
Dentist - General Practice in Charlotte, NC

Active since March 25, 2019PECOS Enrolled
15033 BALLANCROFT PKWY STE 102, CHARLOTTE, NC 28277(704) 771-1371 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 3, 2023, Mar 27, 2023, Jul 20, 2020 (3 updates tracked since 2020).

About Mason Pirtle Dds NPPES

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

MASON PIRTLE DDS (NPI 1730649625) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (11960) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730649625
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMASON PIRTLECredential: DDS
Location Address15033 BALLANCROFT PKWY STE 102Charlotte, NC 28277-4959
Mailing Address15033 Ballancroft Pkwy Ste 102Charlotte, NC 28277-4959 · (704) 771-1371
Sole ProprietorYes
Enumeration DateMarch 25, 2019
Last NPPES UpdateApril 3, 20233 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
NPI 1730649625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 11960
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.

15033 BALLANCROFT PKWY STE 102, Charlotte, NC 28277

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mason Pirtle Dds 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 28277 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

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

Clinic/Center (Dental)
15033 BALLANCROFT PKWY STE 102
CHARLOTTE, NC 28277

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730649625, enumerated as an "individual" on March 25, 2019.

The provider is located at 15033 BALLANCROFT PKWY STE 102 CHARLOTTE, NC 28277 and the phone number is (704) 771-1371.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.