Individual provider Active NPI

Michael Theodore Masias, D.C.

  • Rehabilitation Chiropractor
  • Hazleton, PA
National Provider Identifier
1033202890
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
AJ009055 Issued in PA
Practice address
64 N Locust St
Hazleton, PA 18201-5740
Phone
(570) 501-9108
Fax
(570) 501-9150
NPI assigned
Oct 2, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009223 PA
Rehabilitation Chiropractor 111NR0400X AJ009055 PA Primary

Addresses

Primary practice location

64 N Locust St
Hazleton, PA 18201-5740

Mailing address

64 N Locust St
Hazleton, PA 18201-5740
Phone (570) 501-9108

Other identifiers 2

IdentifierTypeStateIssuer
MA1619029OtherPABLUE CROSS BLUE SHIELD
818948OtherPAFIRST PRIORITY HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000424 PA Practitioner - Chiropractic 3072587609 Practice locations: Sugarloaf, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

653
93 Masias Chiropractic
Sugarloaf, PA 18249
Phone (570) 501-9108

813 Main St
Sugarloaf, PA 18249-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009223PAMDChiropractor
AJ009055PAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Associates of N.E.P.a PC Chiropractor Past Accepting new patients
Masias Chiorpractic Health Center Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1033202890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 N LOCUST ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015740",
            "telephone_number": "570-501-9108",
            "fax_number": "570-501-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 N LOCUST ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015740",
            "telephone_number": "570-501-9108",
            "fax_number": "570-501-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIAS",
        "first_name": "MICHAEL",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009223",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "AJ009055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "MA1619029",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "818948",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.