Individual provider Active NPI

Thomas Masters, CP

  • Prosthetist
  • Omaha, NE
National Provider Identifier
1215227780
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CP003241 Issued in NE
Practice address
17931 Pierce PLZ
Omaha, NE 68130-2654
Phone
(402) 933-1393
Fax
(402) 933-1899
NPI assigned
Apr 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X CP003241 NE Primary

Addresses

Primary practice location

17931 Pierce PLZ
Omaha, NE 68130-2654

Mailing address

17931 Pierce PLZ
Omaha, NE 68130-2654
Phone (402) 933-1393

Other identifiers 1

IdentifierTypeStateIssuer
16982594OtherNEPERSONAL-UNIQUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CP003241NEMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1215227780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17931 PIERCE PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302654",
            "telephone_number": "402-933-1393",
            "fax_number": "402-933-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17931 PIERCE PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302654",
            "telephone_number": "402-933-1393",
            "fax_number": "402-933-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "THOMAS",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NE",
            "license": "CP003241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL-UNIQUE",
            "identifier": "16982594",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.