Active NPI
Mark Alan Mashia Jr., D.C.
- Chiropractor
- Waterbury, CT
National Provider Identifier
1659352870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1279
- Practice address
- 500 Chase Pkwy
Waterbury, CT 06708-3346 - Phone
- (203) 755-6677
- Fax
- (203) 755-7166
- NPI assigned
- Nov 7, 2005
- Last updated
- Oct 28, 2016
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1279 | CT | Primary |
Addresses
Primary practice location
500 Chase Pkwy
Waterbury, CT 06708-3346
Mailing address
500 Chase Pkwy
Waterbury, CT 06708-3346
Phone (203) 755-6677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Chase Pkwy
Waterbury, CT 06708-3346
Phone (203) 755-6677
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.29 of 100
- Quality
- 56.67
- Promoting interoperability
- 86
- Improvement activities
- 20
- Cost
- 72.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1279 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgery, Orthopaedics & Spine Specialists, PC | Current | Accepting new patients | |
| Neurosurgery Orthopaedics & Spine Specialists PC | Chiropractor | Current | Accepting new patients |
| Tribury Orthopaedics | Chiropractor | Past | Accepting new patients |
Locations
500 Chase Pkwy
Waterbury, CT 06708
Phone (203) 264-7999
500 Chase Pkwy
Ste 2B
Waterbury, CT 06708
Interoperability endpoints
- mmashia@noss.emrgedirect.com
Organizations & group practices 3
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.
-
- Neurological Surgery Physician
- Waterbury, CT
- NPI 1831359215
Chiropractor
-
- Neurological Surgery Physician
- Shelton, CT
- NPI 1467082966
-
- Chiropractor
- Waterbury, CT
- NPI 1083643126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1659352870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CHASE PKWY",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083346",
"telephone_number": "203-755-6677",
"fax_number": "203-755-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CHASE PKWY",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083346",
"telephone_number": "203-755-6677",
"fax_number": "203-755-7166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASHIA",
"first_name": "MARK",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "1279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.