Individual provider Active NPI

David Crawford Mason, DC

  • Chiropractor
  • Rochester, MI
National Provider Identifier
1164568523
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301002906 Issued in MI
Practice address
626 N Main St
Rochester, MI 48307-1487
Phone
(248) 601-6100
Fax
(248) 301-9574
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301002906 MI Primary

Addresses

Primary practice location

626 N Main St
Rochester, MI 48307-1487

Mailing address

215 E Big Beaver Rd
Ste 400
Troy, MI 48083-1216
Phone (248) 601-6100

Other identifiers 1

IdentifierTypeStateIssuer
2107955MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111116000595 MI Practitioner - Chiropractic 3870767452 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Klapp Chiropractic Life Center LLCGroup PAC ID 4789570375, 3 clinicians

Practice addresses (Care Compare)

4748 Washtenaw Ave
Ann Arbor, MI 48108-1497
Phone (734) 434-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301002906MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Klapp Chiropractic Life Center, LLC Chiropractor CurrentSince Aug 30, 2022 Accepting new patients
Lupo Chiropractic Life Center, P.C. Chiropractor CurrentSince May 1, 2020 Accepting new patients
Align Chiropractic Clinic Chiropractor Past Accepting new patients

Locations

4748 Washtenaw Ave
Ann Arbor, MI 48108
Phone (734) 434-1100

27850 Gratiot Ave
Roseville, MI 48066
Phone (586) 772-3800

Interoperability endpoints

  • Direct secure messaging: dmason721672@direct.hfhs.org

Organizations & group practices 4

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1164568523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E BIG BEAVER RD",
            "address_2": "STE 400",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831216",
            "telephone_number": "248-601-6100",
            "fax_number": "248-301-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N MAIN ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071487",
            "telephone_number": "248-601-6100",
            "fax_number": "248-301-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "DAVID",
        "middle_name": "CRAWFORD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107955",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.