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Deactivated NPI 1437871076 Deactivated / Inactive NPI Male Practitioner

Dr. Trevor Tarek Mason , DMD

Dentist • Lubbock, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Trevor Mason has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 12, 2022
NPI Deactivation Date April 11, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Trevor Mason, DMD was a registered Dentist practicing in Lubbock, TX. Throughout an active medical career spanning 1 years, Dr. Mason provided care at the practice location at 11824 INDIANA AVE STE 200 until profile deactivation on 2023-04-11.

Practice Location & Contact Primary Location

Practice Address

11824 Indiana Ave Ste 200

Lubbock, TX 794231884

Telephone 8068553942

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
64 Specialists

Practicing in Lubbock, TX (6851 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-31
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 42249

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1316646193
Dr. Natalie Haseloff , DMD

Dentist - General Practice

NPI 1710473244

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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Updated Practice Location July 31, 2026

Registered at 11824 INDIANA AVE STE 200, LUBBOCK, TX 794231884 (Tel: 8068553942)

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Updated Business Mailing Address July 31, 2026

Registered at 4803 15TH ST, LUBBOCK, TX 794165617 (Tel: 8065438107)

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2026

Dentist (License #42249 in TX)

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NPI Profile Reactivated April 20, 2023

Record officially reactivated for active practice on April 20, 2023

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Updated Practice Location April 20, 2023

Registered at 60 LEO M BIRMINGHAM PKWY STE 201, BRIGHTON, MA 021351155 (Tel: 6177831822)

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2023

Dentist (License #DN1859636 in MA)

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NPI Profile Deactivated April 11, 2023

Record deactivated on April 11, 2023

NPI Profile Active September 12, 2022

NPI status registered as active in NPPES database

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Updated Practice Location September 12, 2022

Registered at 111 LENOX ST, NORWOOD, MA 020624279 (Tel: 7817694473)

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Updated Business Mailing Address September 12, 2022

Registered at 55 LEWIS ST APT 612, EAST BOSTON, MA 021282672 (Tel: 8065438107)

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Provider Name / Credentials Updated September 12, 2022

Recorded as TREVOR MASON, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2022

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration September 12, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437871076
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2022
Last Update: July 31, 2026
Deactivation Date: April 11, 2023
Sole Proprietor: No

Mailing Address

4803 15th St

Lubbock, TX 794165617

Phone: 8065438107

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.