Active NPI
Jason Brian Masters, D.C.
- Chiropractor
- Lake Mary, FL
National Provider Identifier
1700916707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 4972
- Practice address
- 3005 W Lake Mary Blvd
Ste 101
Lake Mary, FL 32746-6060 - Phone
- (407) 330-7577
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | CH 4972 | FL | Primary |
Addresses
Primary practice location
3005 W Lake Mary Blvd
Ste 101
Lake Mary, FL 32746-6060
Mailing address
1824 Wingfield Dr
Longwood, FL 32779-2706
Phone (407) 788-0769
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 4972 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1700916707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 WINGFIELD DR",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327792706",
"telephone_number": "407-788-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 W LAKE MARY BLVD",
"address_2": "STE 101",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327466060",
"telephone_number": "407-330-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERS",
"first_name": "JASON",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 4972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.