Individual provider Active NPI

Daniel Francis Massa, D.C.

  • Chiropractor
  • Harlem, GA
National Provider Identifier
1093993883
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008219 Issued in GA
Practice address
315 N Louisville St Ste C
Harlem, GA 30814-5356
Phone
(706) 901-5060
NPI assigned
Feb 5, 2008
Last updated
Jul 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009835 PA
Chiropractor 111N00000X CHIR008219 GA Primary

Addresses

Primary practice location

315 N Louisville St Ste C
Harlem, GA 30814-5356

Mailing address

315 N Louisville St Ste C
Harlem, GA 30814-5356
Phone (478) 299-0496

Other practice location 1

52 Main St
Falls Creek, PA 15840
Phone (814) 375-9888

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009835PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Clinic of Chiropractic, LLC Chiropractor Past Accepting new patients

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, 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": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1093993883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N LOUISVILLE ST STE C",
            "city": "HARLEM",
            "state": "GA",
            "postal_code": "308145356",
            "telephone_number": "478-299-0496",
            "fax_number": "814-375-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N LOUISVILLE ST STE C",
            "city": "HARLEM",
            "state": "GA",
            "postal_code": "308145356",
            "telephone_number": "706-901-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Main St",
            "address_purpose": "LOCATION",
            "city": "Falls Creek",
            "state": "PA",
            "postal_code": "15840",
            "country_code": "US",
            "telephone_number": "814-375-9888",
            "fax_number": "814-375-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSA",
        "first_name": "DANIEL",
        "middle_name": "FRANCIS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009835",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlem, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.