Organization Active NPI

Masterson Chiropractic Clinic, LLC

  • Chiropractor
  • Warsaw, IN
National Provider Identifier
1619607389
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MASTERSON CHIROPRACTIC CLINIC, LLC
Practice address
725 E Market St
Warsaw, IN 46580-3313
Phone
(574) 549-3853
NPI assigned
Jun 14, 2022
Last updated
Jun 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Dr. Sarah Linda Masterson, DC
Title
Owner
Phone
(574) 549-3853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

725 E Market St
Warsaw, IN 46580-3313

Mailing address

311 6TH St
Winona Lake, IN 46590-1110
Phone (574) 549-3853

National Provider Directory

National Provider Directory

Locations

725 E Market St
Warsaw, IN 46580
Phone (219) 267-7051

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1619607389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 6TH ST",
            "city": "WINONA LAKE",
            "state": "IN",
            "postal_code": "465901110",
            "telephone_number": "574-549-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E MARKET ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803313",
            "telephone_number": "574-549-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERSON CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-549-3853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.