Active NPI
Dean K Massaro, D.C.
- Chiropractor
- Warren, OH
National Provider Identifier
1891702528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1431
- Practice address
- 1515 E Market St
Warren, OH 44483-6641 - Phone
- (330) 369-2225
- Fax
- (330) 394-2224
- NPI assigned
- Aug 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1431 | OH | Primary |
| Chiropractor | 111N00000X | 20303 | CA |
Addresses
Primary practice location
1515 E Market St
Warren, OH 44483-6641
Mailing address
1515 E Market St
Warren, OH 44483-6641
Phone (330) 369-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0906881 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050120000027 | OH | Practitioner - Chiropractic | 4789633447 | Practice locations: Warren, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1515 E Market St
Warren, OH 44483-6641
Phone (330) 369-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1431 | OH | MD | Chiropractor |
| 20303 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massaro Chiropractic | Chiropractor | Current | Accepting new patients |
| Washington Square Chiropractic Clinic, LLC | Chiropractor | Past | Accepting new patients |
Locations
1515 E Market St
Warren, OH 44483
Phone (330) 271-8486
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Warren, OH
- NPI 1245928233
-
- Chiropractor
- Chagrin Falls, OH
- NPI 1376754473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1891702528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444836641",
"telephone_number": "330-369-2225",
"fax_number": "330-394-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444836641",
"telephone_number": "330-369-2225",
"fax_number": "330-394-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSARO",
"first_name": "DEAN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1431",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "20303",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0906881",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.