Active NPI
Will Maass, MS, ATC, LAT
- Contractor
- Arkadelphia, AR
National Provider Identifier
1407250236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- AT 634
- Practice address
- 1100 Henderson St
Arkadelphia, AR 71999-0001 - Phone
- (870) 230-5426
- NPI assigned
- Oct 22, 2014
- Last updated
- Oct 22, 2014
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | AT 634 | AR | Primary |
Addresses
Primary practice location
1100 Henderson St
Arkadelphia, AR 71999-0001
Mailing address
389 Lake Hamilton Dr Apt F17
Hot Springs, AR 71913-6875
Phone (563) 210-4496
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 634 | AR | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1407250236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 LAKE HAMILTON DR APT F17",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136875",
"telephone_number": "563-210-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 HENDERSON ST",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719990001",
"telephone_number": "870-230-5426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAASS",
"first_name": "WILL",
"credential": "MS, ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AR",
"license": "AT 634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arkadelphia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.