Timothea A Massart, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3848-012 Issued in WI

Practice address

1239 W Mason St
Green Bay, WI 54303-2047

Phone

(920) 884-6100

Fax

(920) 884-6311

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1265566038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032073",
            "telephone_number": "920-884-6100",
            "fax_number": "920-884-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032047",
            "telephone_number": "920-884-6100",
            "fax_number": "920-884-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSART",
        "first_name": "TIMOTHEA",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3848-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38941700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Clayton Mason, DDS
• Serenity Mason
• Massage Evolution LLC
• Massart Chiropractic SC
• Katherine Ann Massart
• Donald Massenburg, M.D.
• Katlyn Marie Mastel I, PHARMD
• Lynn Mastey, MD
• Kerri Matenaer, NP
• Carrie L Materniak, NP

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.