Individual provider Active NPI

Kim Lavette McMasters, D.C.

  • Chiropractor
  • Greensboro, NC
National Provider Identifier
1336478049
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4031 Issued in NC
Practice address
1037 Homeland Ave
Unit B
Greensboro, NC 27405-7003
Phone
(336) 617-4783
NPI assigned
Dec 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4031 NC Primary

Addresses

Primary practice location

1037 Homeland Ave
Unit B
Greensboro, NC 27405-7003

Mailing address

505 Meadowbrook Rd
Asheboro, NC 27203-4869
Phone (336) 253-5817

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

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1336478049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MEADOWBROOK RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034869",
            "telephone_number": "336-253-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 HOMELAND AVE",
            "address_2": "UNIT B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057003",
            "telephone_number": "336-617-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMASTERS",
        "first_name": "KIM",
        "middle_name": "LAVETTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.