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  7. NPI Record 1972912251

DR. MAKENZIE KATHERINE ELLIOTT MASSENBURG O.D.
Complete NPI Record 1972912251
Optometrist in Foxboro, MA


Quality Rating: 96.05 out of 100 score

NPI Status: Active since August 12, 2014

Contact Information

25 MECHANIC STREET
FOXBORO, MA
ZIP 02035
Phone: (508) 543-4840
Fax: (508) 698-1013

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Name Prefix Text
  7. Provider Credential Text
  8. Provider Other Last Name
  9. Provider Other First Name
  10. Provider Other Middle Name
  11. Provider Other Name Prefix Text
  12. Provider Other Last Name Type Code
  13. Provider First Line Business Mailing Address
  14. Provider Business Mailing Address City Name
  15. Provider Business Mailing Address State Name
  16. Provider Business Mailing Address Postal Code
  17. Provider Business Mailing Address Country Code If outside U S
  18. Provider Business Mailing Address Telephone Number
  19. Provider Business Mailing Address Fax Number
  20. Provider First Line Business Practice Location Address
  21. Provider Business Practice Location Address City Name
  22. Provider Business Practice Location Address State Name
  23. Provider Business Practice Location Address Postal Code
  24. Provider Business Practice Location Address Country Code If outside U S
  25. Provider Business Practice Location Address Telephone Number
  26. Provider Business Practice Location Address Fax Number
  27. Provider Enumeration Date
  28. Last Update Date
  29. Provider Gender Code
  30. Healthcare Provider Taxonomy Code 1
  31. Provider License Number 1
  32. Provider License Number State Code 1
  33. Healthcare Provider Primary Taxonomy Switch 1
  34. Is Sole Proprietor
  35. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1972912251. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1972912251
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider First Name: MAKENZIE
The first name of the provider, if the provider is an individual.
Provider Middle Name: KATHERINE
The first name of the provider, if the provider is an individual.
Provider Name Prefix Text: DR.
The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Credential Text: O.D.
The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Other Last Name: ELLIOTT
Other last name by which the provider being identified is or has been known.
Provider Other First Name: MAKENZIE
Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider first name’’ if the provider is or has been known by a different last name only.
Provider Other Middle Name: KATHERINE
Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider middle name’’ if the provider is or has been known by a different last name only.
Provider Other Name Prefix Text: DR.
The other name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Other Last Name Type Code: 1
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 25 MECHANIC STREET
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: FOXBORO
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider Business Mailing Address State Name: MA
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Mailing Address Postal Code: 02035
The city name in the location address of the provider being identified.
Provider Business Mailing Address Country Code If outside U S : US
The State code in the location of the provider being identified.
Provider Business Mailing Address Telephone Number: 5085434840
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 5086981013
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 25 MECHANIC STREET
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: FOXBORO
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: MA
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 02035
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 5085434840
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Practice Location Address Fax Number: 5086981013
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Enumeration Date: 8/12/2014
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Last Update Date: 1/17/2024
The city name in the location address of the provider being identified.
Provider Gender Code: F
The State code in the location of the provider being identified.
Healthcare Provider Taxonomy Code 1: 152W00000X
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider License Number 1: 5031
The country code in the location address of the provider being identified.
Provider License Number State Code 1: MA
The telephone number associated with the location address of the provider being identified.
Healthcare Provider Primary Taxonomy Switch 1: Y
The date the provider was assigned a unique identifier (assigned an NPI).
Is Sole Proprietor: N
The date that a record was last updated or changed.
NPI Certification Date: 1/17/2024
The code designating the provider’s gender if the provider is a person.