Organization Active NPI

Mason Chiropractic PC

  • Chiropractor
  • Fraser, MI
National Provider Identifier
1235393885
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DM002906 Issued in MI
Legal business name
MASON CHIROPRACTIC PC
Practice address
31040 Utica Rd
Fraser, MI 48026-2534
Phone
(586) 296-3355
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. David Crawford Mason, DC
Title
Chiropractor
Phone
(586) 296-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DM002906 MI Primary

Addresses

Primary practice location

31040 Utica Rd
Fraser, MI 48026-2534

Mailing address

31040 Utica Rd
Fraser, MI 48026-2534
Phone (586) 296-3355

Other identifiers 1

IdentifierTypeStateIssuer
2107955MedicaidMI

National Provider Directory

National Provider Directory

Locations

36880 Groesbeck Hwy
Clinton Twp, MI 48035
Phone (586) 791-1700

31040 Utica Rd
Fraser, MI 48026
Phone (586) 296-3355

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1235393885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31040 UTICA RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262534",
            "telephone_number": "586-296-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31040 UTICA RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262534",
            "telephone_number": "586-296-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CRAWFORD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "586-296-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "DM002906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107955",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fraser, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.