Organization Active NPI

Masterson Chiropractic, P.a.

  • Chiropractor
  • Pembroke Pines, FL
National Provider Identifier
1043360076
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8706 Issued in FL
Legal business name
MASTERSON CHIROPRACTIC, P.A.
Practice address
190 S University Dr
Pembroke Pines, FL 33025-2234
Phone
(954) 392-7703
Fax
(954) 433-8268
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Dr. Joseph Craig Masterson, D.C.NPI 1831161306
Title
Chiropractor
Phone
(954) 392-7703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8706 FL Primary

Addresses

Primary practice location

190 S University Dr
Pembroke Pines, FL 33025-2234

Mailing address

4991 SW 119TH Ave
Cooper City, FL 33330-5425
Phone (954) 392-7703

Other identifiers 1

IdentifierTypeStateIssuer
381896900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050929000684 FL Part B Supplier - Clinic/Group Practice 9436184389 Receives reassigned benefits from 1 practitioner
Practice locations: Pembroke Pines, FL; Weston, FL

National Provider Directory

National Provider Directory

Locations

1625 N Commerce Pkwy
Ste 300
Weston, FL 33326
Phone (954) 400-9001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1043360076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4991 SW 119TH AVE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333305425",
            "telephone_number": "954-392-7703",
            "fax_number": "954-433-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330252234",
            "telephone_number": "954-392-7703",
            "fax_number": "954-433-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERSON CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "954-392-7703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381896900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.