Organization Active NPI

Old Mission Advanced Care, PLLC

  • Specialist
  • Traverse City, MI
National Provider Identifier
1902733652
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OLD MISSION ADVANCED CARE, PLLC
Practice address
148 E Front St Ste 301
Traverse City, MI 49684-5726
Phone
(231) 333-4388
Fax
(231) 525-2081
NPI assigned
May 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Christopher Mason, DO
Title
Owner. Ceo
Phone
(231) 333-4388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

148 E Front St Ste 301
Traverse City, MI 49684-5726

Mailing address

148 E Front St Ste 301
Traverse City, MI 49684-5726
Phone (231) 333-4388

National Provider Directory

National Provider Directory

Locations

148 E Front St
Ste 301
Traverse City, MI 49684

NPI Registry JSON

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1902733652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 E FRONT ST STE 301",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845726",
            "telephone_number": "231-333-4388",
            "fax_number": "231-525-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E FRONT ST STE 301",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845726",
            "telephone_number": "231-333-4388",
            "fax_number": "231-525-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD MISSION ADVANCED CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER. CEO",
        "authorized_official_telephone_number": "231-333-4388",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.