Individual provider Active NPI

David Stanley Masztal, DC

  • Chiropractor
  • Ludlow, MA
National Provider Identifier
1265571079
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH1378 Issued in MA
Practice address
100 Moody Street
Suite 101
Ludlow, MA 01056-1269
Phone
(413) 589-9006
Fax
(413) 589-7002
NPI assigned
Feb 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH1378 MA Primary

Addresses

Primary practice location

100 Moody Street
Suite 101
Ludlow, MA 01056-1269

Mailing address

100 Moody Street
Suite 101
Ludlow, MA 01056-1269
Phone (413) 589-9006

Other identifiers 1

IdentifierTypeStateIssuer
Y35919OtherMABCBS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1378MAMDMarriage & Family Therapist
CH1378MAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265571079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MOODY STREET",
            "address_2": "SUITE 101",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561269",
            "telephone_number": "413-589-9006",
            "fax_number": "413-589-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOODY STREET",
            "address_2": "SUITE 101",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561269",
            "telephone_number": "413-589-9006",
            "fax_number": "413-589-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASZTAL",
        "first_name": "DAVID",
        "middle_name": "STANLEY",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CH1378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y35919",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.