Massart Chiropractic SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3848-012 Issued in WI

Legal business name

MASSART CHIROPRACTIC SC

Practice address

1239 W Mason St
Green Bay, WI 54303-2047

Phone

(920) 884-6100

Fax

(920) 884-6311

NPI assigned

Apr 30, 2009

Organization subpart

No

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

Authorized official

Name

Timothea A. Massart, D.C.

Title

Owner

Phone

(920) 884-6100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Bluml, DC

  • Chiropractor
  • Green Bay, WI
  • NPI 1881467405
  Medicare reassignment Care Compare group NPD
• Jessica Gonzalez Monroe, DC

  • Chiropractor
  • Green Bay, WI
  • NPI 1619685062
  Medicare reassignment Care Compare group NPD
• Randall L Blohowiak, DC

  • Chiropractor
  • Neenah, WI
  • NPI 1356301188
  NPD (past)
• Dane W McCullough, DC

  • Chiropractor
  • Germantown, WI
  • NPI 1154849024
  NPD (past)

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1669616801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032047",
            "telephone_number": "920-884-6100",
            "fax_number": "920-884-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032047",
            "telephone_number": "920-884-6100",
            "fax_number": "920-884-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSART CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "MASSART",
        "authorized_official_first_name": "TIMOTHEA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-884-6100",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3848-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth King Counseling & Consulting LLC
• Alexandra Masek, D.M.D.
• David Clayton Mason, DDS
• Serenity Mason
• Massage Evolution LLC
• Katherine Ann Massart
• Timothea A Massart, D.C.
• Donald Massenburg, M.D.
• Katlyn Marie Mastel I, PHARMD
• Lynn Mastey, MD

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.