Individual provider Active NPI

Philip Michael Maass, MED TECH

  • Basic Emergency Medical Technician
  • Carbondale, CO
National Provider Identifier
1245104967
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
057378 Issued in CO
Practice address
301 Meadowood Dr
Carbondale, CO 81623-9212
Phone
(669) 900-6833
NPI assigned
Oct 4, 2025
Last updated
Oct 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 057378 CO Primary

Addresses

Primary practice location

301 Meadowood Dr
Carbondale, CO 81623-9212

Mailing address

485 Pinon PT
Glenwood Springs, CO 81601-9697
Phone (970) 309-5770

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
057378COMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1759536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1245104967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 PINON PT",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816019697",
            "telephone_number": "970-309-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEADOWOOD DR",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816239212",
            "telephone_number": "669-900-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAASS",
        "first_name": "PHILIP",
        "middle_name": "MICHAEL",
        "credential": "MED TECH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CO",
            "license": "057378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; 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.