Organization Active NPI

Masek Chiropractic Professional Corporation

  • Chiropractor
  • Temecula, CA
National Provider Identifier
1780698621
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29338 Issued in CA
Legal business name
MASEK CHIROPRACTIC PROFESSIONAL CORPORATION
Practice address
31217 Pauba Rd
Ste. 204
Temecula, CA 92592-6221
Phone
(951) 693-5629
Fax
(951) 693-4197
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Dr. Cody James Masek, D.C.NPI 1528001641
Title
Owner
Phone
(951) 693-5629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC29338 CA Primary

Addresses

Primary practice location

31217 Pauba Rd
Ste. 204
Temecula, CA 92592-6221

Mailing address

31217 Pauba Rd
Ste. 204
Temecula, CA 92592-6221
Phone (951) 693-5629

Other names 1

  • Complete Health Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110811000485 CA Part B Supplier - Clinic/Group Practice 5890964647 Receives reassigned benefits from 1 practitioner
Practice locations: Temecula, CA

National Provider Directory

National Provider Directory

Locations

31217 Pauba Rd
Ste 204
Temecula, CA 92592
Phone (951) 693-2208

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1780698621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31217 PAUBA RD",
            "address_2": "STE. 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926221",
            "telephone_number": "951-693-5629",
            "fax_number": "951-693-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31217 PAUBA RD",
            "address_2": "STE. 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926221",
            "telephone_number": "951-693-5629",
            "fax_number": "951-693-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASEK CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "MASEK",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-693-5629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.