Provider Demographics
NPI:1376592873
Name:MASON, DAVID R (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:MASON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3639
Mailing Address - Country:US
Mailing Address - Phone:615-794-9155
Mailing Address - Fax:615-794-9157
Practice Address - Street 1:1265 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3639
Practice Address - Country:US
Practice Address - Phone:615-794-9155
Practice Address - Fax:615-794-9157
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000002034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNV05083Medicare UPIN
TN3729632Medicare ID - Type UnspecifiedMEDICARE