Randall Ray Mask, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC5864 Issued in TX

Practice address

252 Park PL
Azle, TX 76020-3230

Phone

(817) 444-6275

Fax

(817) 444-5798

NPI assigned

Jan 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366592909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 PARK PL",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203230",
            "telephone_number": "817-444-6275",
            "fax_number": "817-444-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 PARK PL",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203230",
            "telephone_number": "817-444-6275",
            "fax_number": "817-444-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASK",
        "first_name": "RANDALL",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Mageto, COTA/L
• Mainstream Rehabilitation Services of TX
• Kavitha Mamindla, M.D.
• Arianna Martinez, LCDC-INTERN
• Eva Belinda Martinez, RPH
• Tiffani Mason, LPC
• James Lee Masson, DC
• Gino Mata, LCDC-INTERN
• Marisah Mata
• Jasmine Dawn Mayo

• Chiropractor in Azle, TX
• Providers in Azle, TX by specialty
• Chiropractor in Texas

• 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.