Active NPI
T Wayne Mask, D.C.
- Chiropractor
- Crockett, TX
National Provider Identifier
1275751471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5173
- Practice address
- 305 S 5TH St
Crockett, TX 75835-2126 - Phone
- (936) 544-2225
- Fax
- (936) 544-2259
- NPI assigned
- Apr 23, 2007
- Last updated
- Jul 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5173 | TX | Primary |
Addresses
Primary practice location
305 S 5TH St
Crockett, TX 75835-2126
Mailing address
305 S 5TH St
Crockett, TX 75835-2126
Phone (936) 544-2225
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5173 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1275751471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 S 5TH ST",
"city": "CROCKETT",
"state": "TX",
"postal_code": "758352126",
"telephone_number": "936-544-2225",
"fax_number": "936-544-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S 5TH ST",
"city": "CROCKETT",
"state": "TX",
"postal_code": "758352126",
"telephone_number": "936-544-2225",
"fax_number": "936-544-2259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASK",
"first_name": "T",
"middle_name": "WAYNE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "5173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crockett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.