Ronald S Mash PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RONALD S MASH PA

Practice address

1240 3Rd Ave E
Suite 9
Shakopee, MN 55379-1679

Phone

(952) 445-7890

Fax

(952) 445-7893

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Mash, DC

Title

Pres

Phone

(952) 445-7890

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• shakopee chiropractic center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Kimberly Ann Johnson, D.C.

  • Chiropractor
  • Shakopee, MN
  • NPI 1003911108
  Medicare reassignment NPD
• Jacob Jared Sundberg, D.C.

  • Chiropractor
  • Maple Grove, MN
  • NPI 1619096245
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1104952589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 3RD AVE E",
            "address_2": "SUITE 9",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791679",
            "telephone_number": "952-445-7890",
            "fax_number": "952-445-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 3RD AVE E",
            "address_2": "SUITE 9",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791679",
            "telephone_number": "952-445-7890",
            "fax_number": "952-445-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD S MASH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "MASH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "952-445-7890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "51413SH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "shakopee chiropractic center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Robertson, MS CCC- SLP
• Roxsie Serenity Robinson
• Anna Victoria Rodriguez, MD
• Colleen Marie Roethke, RN
• Manuel Roman, MD
• Elizabeth Ann Root
• Shana-Kay Shantell Rose
• Amanda Kathryn Ross, PA-C
• Rebecca Rothwell
• James J Rowe, MD

• Primary Care Clinic/Center in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Primary Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.