Michael L Masucci DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2014013287 Issued in MO

Legal business name

MICHAEL L MASUCCI DC LLC

Practice address

2124 Babler Ridge LN
Wildwood, MO 63038-1178

Phone

(636) 458-9356

NPI assigned

May 7, 2014

Last updated

May 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Laurens Masucci, D.C.

Title

Owner Manager

Phone

(636) 458-9356

Specialties & licenses 1

Addresses

Locations

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.

• James W. George, D.C.

  • Chiropractor
  • Saint Louis, MO
  • NPI 1689779761
  NPD (past)
• Jacob William Stegmaier, D.C.

  • Chiropractor
  • Dixon, IL
  • NPI 1124271655
  NPD (past)

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1689084972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 BABLER RIDGE LN",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630381178",
            "telephone_number": "636-458-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 BABLER RIDGE LN",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630381178",
            "telephone_number": "636-458-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L MASUCCI DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "MASUCCI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LAURENS",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "636-458-9356",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014013287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn M Mellis, LCSW
• Mercy Clinic East Communities
• Mercy Pharmacy Services LLC
• Metro West Fire Protection District of St Louis City (Metro West Fire Protection District)
• Edmond James Meyer, BSN, RN, AE-C
• Midwest Counseling & Consulting, LLC
• Jonathan Miller, MA, PLPC
• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #18015)
• Missouri Dental Professionals, Richard Straus, DMD, PC (MyWildwoodDentist.com)
• Amal Maher Morcos

• Chiropractor in Wildwood, MO
• Providers in Wildwood, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.