Individual provider Active NPI

Taylor Re Mason, D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1114465507
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0007766 Issued in CO
Practice address
13860 Gleneagle Dr
Colorado Springs, CO 80921-3214
Phone
(719) 301-5781
NPI assigned
Feb 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0007766 CO Primary
Chiropractor 111N00000X 2527 AL

Addresses

Primary practice location

13860 Gleneagle Dr
Colorado Springs, CO 80921-3214

Mailing address

6853 Mountain Top LN
Colorado Springs, CO 80919-1951
Phone (719) 301-5781

Other practice location 1

104 Owens Pkwy
Suite A
Birmingham, AL 35244-1657
Phone (205) 988-9848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211000588 CO Practitioner - Chiropractic 7911275110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Chiropractic LLCGroup PAC ID 5092059535, 4 clinicians

Practice addresses (Care Compare)

13860 Gleneagle Dr
Colorado Springs, CO 80921-3214
Phone (719) 301-5781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0007766COMDChiropractor

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1114465507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6853 MOUNTAIN TOP LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191951",
            "telephone_number": "719-301-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13860 GLENEAGLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213214",
            "telephone_number": "719-301-5781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Owens Pkwy",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352441657",
            "country_code": "US",
            "telephone_number": "205-988-9848",
            "fax_number": "205-628-0084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "TAYLOR",
        "middle_name": "RE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0007766",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.