Jimmie L. Mask, D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104000158 Issued in VA

Legal business name

JIMMIE L. MASK, D.C., P.C.

Practice address

825 Memorial Blvd N
Martinsville, VA 24112-2418

Phone

(276) 632-8385

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jimmie L. Mask, D.C.

Title

President

Phone

(276) 632-8385

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619188356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 MEMORIAL BLVD N",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122418",
            "telephone_number": "276-632-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MEMORIAL BLVD N",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122418",
            "telephone_number": "276-632-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMIE L. MASK, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASK",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-632-8385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "075006",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "8596",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "255239",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Wayne Jenkins, D.D.S.
• Erin H Jenkins, LPC
• Michael James Jennings, OD
• Amanda Renee Jewell, PMHNP
• Christine Alice Jibilian, MASTERS STUDENT
• JNS Home Healthcare Services
• Jo Lynn McClain, Psy.D.
• Camella Renee' Johnson-Gunn
• Ariel Lee Johnson, LCSW
• Gloria J Johnson, LCSW

• Chiropractor in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.