Mason Taylor Pratt, DC – Chiropractor

Key facts

NPI: 1083328207
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: 5530 (NC)
Practice address: 315 Page Rd N Ste 11
Pinehurst, NC 28374-0087
Phone: (910) 295-1215
NPI assigned: Jan 11, 2023
Sex: Male
Sole proprietor: No

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.

Pinehurst Chiropractic Inc Chiropractor · Pinehurst, NC · NPI 1902975865

NPD CHIROPRACTOR

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
5530	NC	MD	Other Technician

Practice roles

Organization	Specialty	Status	New patients
Pinehurst Chiropractic Inc	Chiropractor	Current since Jan 15, 2023	Accepting new patients

Locations

315 Page Rd N
Ste 11
Pinehurst, NC 28374
Phone (910) 295-1215

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	5530	NC	Yes

Addresses

Primary practice location

315 Page Rd N Ste 11
Pinehurst, NC 28374-0087

Mailing address

2913 Merriefield CT
Fayetteville, NC 28301-3353
Phone (724) 833-7718

Other identifiers

Identifier	Type	State	Issuer
1902975865	Other	NC	CHIROPRACTIC

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	management@pinehurstchiro.com	Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 11, 2023.

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1083328207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 MERRIEFIELD CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013353",
            "telephone_number": "724-833-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 PAGE RD N STE 11",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283740087",
            "telephone_number": "910-295-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "MASON",
        "middle_name": "TAYLOR",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "1902975865",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "management@pinehurstchiro.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "315 Page Rd N Ste 11",
            "city": "Pinehurst",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283740087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pinehurst, NC

All providers in Pinehurst, NC · Chiropractor in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.