Individual provider Active NPI

Mason Vilardo, DC

  • General Practice Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1851092027
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DC-05247 Issued in OH
Practice address
1166 Mack Bayou Rd
Santa Rosa Beach, FL 32459-3104
Phone
(513) 474-7378
Fax
(877) 775-2232
NPI assigned
Mar 15, 2023
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-05247 OH
General Practice Physician 208D00000X DC-05247 OH Primary

Addresses

Primary practice location

1166 Mack Bayou Rd
Santa Rosa Beach, FL 32459-3104

Mailing address

1401 Reed Canal Rd Unit 17203
Port Orange, FL 32129-9491
Phone (513) 474-7378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-05247OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
30A Sleep Solutions, P.a. PastSince Mar 19, 2023 Accepting new patients
Sleep Remedy of Cincinnati LLC PastSince Jul 24, 2022 Accepting new patients
Vilardo Chiropractic, LLC Chiropractor PastSince May 7, 2023 Accepting new patients
30A Dental Solutions, P.a. PastSince Mar 19, 2023 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1851092027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 REED CANAL RD UNIT 17203",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299491",
            "telephone_number": "513-474-7378",
            "fax_number": "877-775-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 MACK BAYOU RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593104",
            "telephone_number": "513-474-7378",
            "fax_number": "877-775-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILARDO",
        "first_name": "MASON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-15",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05247",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "DC-05247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.