IndividualActive
Mason Niemeyer, D.D.S
NPI 1306338652 · General Practice Dentistry · Lackland Afb, TX
Provider details
- NPI number
- 1306338652
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
- License
- 7460 (NE)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 Wilford Hall Loop
Lackland Afb, TX 78236-5638
Phone: (210) 292-0995
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Wilford Hall Loop
Lackland Afb, TX 78236-5638
Additional practice locations (2)
- 655 7th St Bldg 70078Robins Afb, GA 31098-2227Phone: (478) 222-4431
- 4700 Las Vegas Blvd N Bldg 1300Nellis Afb, NV 89191-6600Phone: (702) 404-0259
Registry dates
- Enumerated
- 2018-06-02
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.