Organization Active NPI

Christopher C. Mason, D.P.M., PA

  • Foot & Ankle Surgery Podiatrist
  • Lake Mary, FL
National Provider Identifier
1194044107
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO-0001884 Issued in FL
Legal business name
CHRISTOPHER C. MASON, D.P.M., PA
Practice address
4106 W Lake Mary Blvd
Suite 125
Lake Mary, FL 32746-3315
Phone
(407) 333-3668
Fax
(407) 333-3435
NPI assigned
Jun 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Dr. Christopher C Mason, DPM
Title
Physician
Phone
(407) 333-3668

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO-0001884 FL Primary
Durable Medical Equipment & Medical Supplies 332B00000X PO-0001884 FL
Prosthetic/Orthotic Supplier 335E00000X PO-0001884 FL

Addresses

Primary practice location

4106 W Lake Mary Blvd
Suite 125
Lake Mary, FL 32746-3315

Mailing address

4106 W Lake Mary Blvd
Suite 125
Lake Mary, FL 32746-3315
Phone (407) 333-3668

Other identifiers 1

IdentifierTypeStateIssuer
052045400MedicaidFL

National Provider Directory

National Provider Directory

Locations

4106 W Lake Mary Blvd
Ste 125
Lake Mary, FL 32746
Phone (321) 333-3668

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1194044107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 W LAKE MARY BLVD",
            "address_2": "SUITE 125",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463315",
            "telephone_number": "407-333-3668",
            "fax_number": "407-333-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 W LAKE MARY BLVD",
            "address_2": "SUITE 125",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463315",
            "telephone_number": "407-333-3668",
            "fax_number": "407-333-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER C. MASON, D.P.M., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-333-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO-0001884",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PO-0001884",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "PO-0001884",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052045400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.