Organization Active NPI

Michael J. Masters, D.C., Inc.

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1346494499
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC355 Issued in HI
Legal business name
MICHAEL J. MASTERS, D.C., INC.
Practice address
1010 S King St
Suite 213
Honolulu, HI 96814-1701
Phone
(808) 591-0099
Fax
(808) 593-0994
NPI assigned
Nov 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. Michael James Masters, D.C.
Title
Owner
Phone
(808) 591-0099

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC355 HI Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC1176 HI

Addresses

Primary practice location

1010 S King St
Suite 213
Honolulu, HI 96814-1701

Mailing address

1010 S King St
Suite 213
Honolulu, HI 96814-1701
Phone (808) 591-0099

Other names 1

  • Masters Back & Neck Pain Relief Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090224000396 HI Part B Supplier - Clinic/Group Practice 3375608409 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1010 S King St
Ste 213
Honolulu, HI 96814
Phone (808) 591-0099

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1346494499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S KING ST",
            "address_2": "SUITE 213",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141701",
            "telephone_number": "808-591-0099",
            "fax_number": "808-593-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S KING ST",
            "address_2": "SUITE 213",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141701",
            "telephone_number": "808-591-0099",
            "fax_number": "808-593-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. MASTERS, D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-591-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC355",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC1176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masters Back & Neck Pain Relief Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.