MK Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MK CHIROPRACTIC

Practice address

711 W North Ave Ste 201
Chicago, IL 60610-1042

Phone

(312) 291-8277

Fax

(312) 664-9181

NPI assigned

Jan 12, 2016

Last updated

Jan 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald Wayne Mason, D.C.NPI 1427421346

Title

Chiropractor

Phone

(312) 291-8277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Mason, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1427421346
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1558727123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W NORTH AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101042",
            "telephone_number": "312-291-8277",
            "fax_number": "312-664-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W NORTH AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101042",
            "telephone_number": "312-291-8277",
            "fax_number": "312-664-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "312-291-8277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MJL Aesthetics, S.C.
• MJM Health Agency, Inc.
• MJM Transportation
• MJPT 2 LLC (Muscle & Joint Physical Therapy)
• MJT Podiatry SC
• MK Counseling and Wellness, PLLC
• MK Dental Inc
• MK Home Healthcare LLC
• MK Ortho Equipment, LLC
• MKM Therapy PLLC

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.