Active NPI
Ren Massey, Jr., D.C.
- Chiropractor
- West Point, MS
National Provider Identifier
1710062641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0858
- Practice address
- 1004 Hwy 45 Alt. S.
West Point, MS 39773 - Phone
- (662) 494-1500
- Fax
- (662) 494-7825
- NPI assigned
- Oct 26, 2006
- 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 | 0858 | MS | Primary |
Addresses
Primary practice location
1004 Hwy 45 Alt. S.
West Point, MS 39773
Mailing address
1004 Hwy 45 Alt. S.
West Point, MS 39773
Phone (662) 494-1500
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0858 | MS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1710062641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 HWY 45 ALT. S.",
"city": "WEST POINT",
"state": "MS",
"postal_code": "39773",
"telephone_number": "662-494-1500",
"fax_number": "662-494-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 HWY 45 ALT. S.",
"city": "WEST POINT",
"state": "MS",
"postal_code": "39773",
"telephone_number": "662-494-1500",
"fax_number": "662-494-7825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY, JR.",
"first_name": "REN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "0858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Point, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.