Active NPI
Charles Stefan Masarsky, DC
- Chiropractor
- Vienna, VA
National Provider Identifier
1073672960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000365
- Practice address
- 407 Church St NE
C
Vienna, VA 22180-4737 - Phone
- (703) 938-6441
- Fax
- (703) 319-3978
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000365 | VA | Primary |
Addresses
Primary practice location
407 Church St NE
C
Vienna, VA 22180-4737
Mailing address
PO Box 1634
Vienna, VA 22183-1634
Phone (703) 938-6441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
243 Church St NW
Suite 300B
Vienna, VA 22180-4437
Phone (703) 938-6441
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vienna Chiropractic Associates PC | Chiropractor | Current | Accepting new patients |
Locations
407 Church St NE
Ste C
Vienna, VA 22180
Phone (703) 938-6441
243 Church St NW
Ste 300B
Vienna, VA 22180
Phone (703) 242-7474
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": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1073672960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1634",
"city": "VIENNA",
"state": "VA",
"postal_code": "221831634",
"telephone_number": "703-938-6441",
"fax_number": "703-319-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 CHURCH ST NE",
"address_2": "C",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804737",
"telephone_number": "703-938-6441",
"fax_number": "703-319-3978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASARSKY",
"first_name": "CHARLES",
"middle_name": "STEFAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.