Active NPI
Paul Walter Masalskis, D.C.
- Sports Physician Chiropractor
- Farmington Hills, MI
National Provider Identifier
1508887589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 2301004586
- Practice address
- 21021 Farmington Rd
Farmington Hills, MI 48336-5016 - Phone
- (248) 477-4200
- NPI assigned
- Jul 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 2301004586 | MI | Primary |
Addresses
Primary practice location
21021 Farmington Rd
Farmington Hills, MI 48336-5016
Mailing address
31236 Pierce St
Beverly Hills, MI 48025-5416
Phone (248) 477-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OF35394 | Other | MI | CHIROPRACTOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 N Main St
Rochester, MI 48307-1432
Phone (248) 656-1011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301004586 | MI | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester Chiropractic Clinic PC | Chiropractor | Current | Accepting new patients |
| Rochester Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Locations
900 N Main St
Rochester, MI 48307
Phone (248) 656-1011
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Rochester, MI
- NPI 1710006622
-
- Chiropractor
- Rochester, MI
- NPI 1942607106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508887589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31236 PIERCE ST",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480255416",
"telephone_number": "248-477-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21021 FARMINGTON RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365016",
"telephone_number": "248-477-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASALSKIS",
"first_name": "PAUL",
"middle_name": "WALTER",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MI",
"license": "2301004586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTOR",
"identifier": "OF35394",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- 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.
- 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.