Individual provider Active NPI

Andrew Edward Mask, D.C.

  • Chiropractor
  • Staunton, VA
National Provider Identifier
1043394141
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555811 Issued in VA
Practice address
639 N Coalter St
Staunton, VA 24401-3404
Phone
(540) 885-8877
Fax
(540) 887-8493
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555811 VA Primary

Addresses

Primary practice location

639 N Coalter St
Staunton, VA 24401-3404

Mailing address

639 N Coalter St
Staunton, VA 24401-3404
Phone (540) 885-8877

Other identifiers 3

IdentifierTypeStateIssuer
172304OtherVAANTHEM BLUE CROSS BLUE SH
257493OtherVASOUTHERN HEATLH
9589825OtherVACIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050325000229 VA Practitioner - Chiropractic 5294781902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mask Chiropractic and Acupuncture ClinicGroup PAC ID 9739135377, 2 clinicians

Practice addresses (Care Compare)

639 N Coalter St
Staunton, VA 24401-3404
Phone (540) 885-8877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mask Chiropractic and Acupuncture Clinic Chiropractor CurrentSince Jan 1, 2005 Accepting new patients

Locations

639 N Coalter St
Staunton, VA 24401
Phone (540) 885-8877

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043394141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 N COALTER ST",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244013404",
            "telephone_number": "540-885-8877",
            "fax_number": "540-887-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 N COALTER ST",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244013404",
            "telephone_number": "540-885-8877",
            "fax_number": "540-887-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASK",
        "first_name": "ANDREW",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "172304",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEATLH",
            "identifier": "257493",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9589825",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.