Dr. Clint Mausser, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR. CLINT MAUSSER, LLC

Practice address

5602 E 5TH St
Tucson, AZ 85711-2449

Phone

(520) 477-1678

Fax

(520) 747-5845

NPI assigned

Mar 19, 2021

Organization subpart

No

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

Authorized official

Name

Clint Michael MausserNPI 1730624040

Title

Owner

Phone

(520) 477-1678

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Clint Mausser, D.C.

  • Chiropractor
  • Tucson, AZ
  • NPI 1730624040
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1720664873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112449",
            "telephone_number": "520-477-1678",
            "fax_number": "520-747-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112449",
            "telephone_number": "520-477-1678",
            "fax_number": "520-747-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CLINT MAUSSER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "MAUSSER",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-477-1678"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.