Active NPI
Jean T. Masterson, D.P.M.
- Podiatrist
- Greeley, CO
National Provider Identifier
1669642443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- JEAN T. MASTERSON, D.P.M.
- Practice address
- 2000 16TH St Ste 3
Greeley, CO 80631-5149 - Phone
- (970) 352-4815
- NPI assigned
- Mar 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jean Therese Masterson, D.P.M.
- Title
- Ownner
- Phone
- (970) 352-4815
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
2000 16TH St Ste 3
Greeley, CO 80631-5149
Mailing address
2000 16TH St Ste 3
Greeley, CO 80631-5149
Phone (970) 352-4815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01003706 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
2000 16th St
Ste 3
Greeley, CO 80631
Phone (970) 352-4815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204848000000",
"number": "1669642443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 16TH ST STE 3",
"city": "GREELEY",
"state": "CO",
"postal_code": "806315149",
"telephone_number": "970-352-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 16TH ST STE 3",
"city": "GREELEY",
"state": "CO",
"postal_code": "806315149",
"telephone_number": "970-352-4815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEAN T. MASTERSON, D.P.M.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-07",
"last_updated": "2008-03-07",
"status": "A",
"authorized_official_last_name": "MASTERSON",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "THERESE",
"authorized_official_title_or_position": "OWNNER",
"authorized_official_telephone_number": "970-352-4815",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01003706",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.