Ronald Maxwell Masters, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009746 Issued in MI

Practice address

1675 Phoenix St Ste 9
South Haven, MI 49090-8658

Phone

(269) 639-2545

Fax

(269) 639-2137

NPI assigned

Jan 31, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Max Masters DC PLLC

  • Chiropractor
  • South Haven, MI
  • NPI 1255700639
  Medicare reassignment NPD Authorized official
• Bucktown Chiropractic Health Center S C

  • Chiropractor
  • Chicago, IL
  • NPI 1538287651
  NPD (past)
• Knecht Chiropractic Clinic, P.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1124200928
  NPD (past)

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1366748923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 PHOENIX ST STE 9",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490908658",
            "telephone_number": "269-639-2545",
            "fax_number": "269-639-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 PHOENIX ST STE 9",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490908658",
            "telephone_number": "269-639-2545",
            "fax_number": "269-639-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "RONALD",
        "middle_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009746",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0044472879",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950A310570",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "G06732",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A Mannik, O.D.
• Mark Sobor, MD
• Kathleen Martinez
• Alicia Massenburg
• Sharon Massey
• Max Masters DC PLLC
• Christin M McFadyen, LPC
• Sandeep Maganlal Mehta, RPH
• Meijer, Inc.
• Kathleen M Miles

• All providers in South Haven, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.