Active NPI
Chris Wayne Mason
- Massage Therapist
- South Lake Tahoe, CA
National Provider Identifier
1538424064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MASONCW187NQ
- Practice address
- 953 Star Lake Ave
South Lake Tahoe, CA 96150-7828 - Phone
- (206) 650-2069
- NPI assigned
- Jul 10, 2012
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MASONCW187NQ | WA | Primary |
Addresses
Primary practice location
953 Star Lake Ave
South Lake Tahoe, CA 96150-7828
Mailing address
953 Star Lake Ave
South Lake Tahoe, CA 96150-7828
Phone (206) 650-2069
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MASONCW187NQ | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1538424064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "953 STAR LAKE AVE",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507828",
"telephone_number": "206-650-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "953 STAR LAKE AVE",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507828",
"telephone_number": "206-650-2069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "CHRIS",
"middle_name": "WAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-10",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MASONCW187NQ",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Lake Tahoe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.