Active NPI
Mason Chiropractic PC
- Chiropractor
- Fraser, MI
National Provider Identifier
1235393885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DM002906
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2107955 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.