Masters Spine Center

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MASTERS SPINE CENTER

Practice address

1820 Sidewinder Dr
Park City, UT 84060-7562

Phone

(833) 674-3627

NPI assigned

Nov 9, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Armen Khachatryan, MD

Title

Ceo

Phone

(801) 703-0342

Specialties & licenses 1

Addresses

Other names 1

• Masters Spine Institute Doing business as

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1194599209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 S 2230 E",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841211469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SIDEWINDER DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607562",
            "telephone_number": "833-674-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERS SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-703-0342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masters Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Elizabeth Marshall, PA
• Melanie Marth, DPT
• Pamela Leigh Mason, LPC
• Ghanshyam Pribdhas Massand, M.D.
• Julia Massey, MFT
• Leslie Masters
• Lois Elaine Mastin, R.PH.
• William R. Mathie, PA
• Amanda Rena Matsuura, FNP-C
• Nicole Mattingly

• Surgery Physician in Park City, UT
• Providers in Park City, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.