Individual provider Active NPI

Paul Walter Masalskis, D.C.

  • Sports Physician Chiropractor
  • Farmington Hills, MI
National Provider Identifier
1508887589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2301004586 Issued in MI
Practice address
21021 Farmington Rd
Farmington Hills, MI 48336-5016
Phone
(248) 477-4200
NPI assigned
Jul 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OF35394OtherMICHIROPRACTOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050204000224 MI Practitioner - Chiropractic 2163473331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Chiropractic Clinic PCGroup PAC ID 5991755795, 3 clinicians

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

LicenseStateTypeSpecialty
2301004586MIMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Chiropractic Clinic PC Chiropractor CurrentSince Dec 6, 2004 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.

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.

Verify at the official NPI Registry.