Individual provider Active NPI

Matthew Norman Terreri, D.C.

  • Chiropractor
  • Ashland, OR
National Provider Identifier
1013096965
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3199 Issued in OR
Practice address
240 E Hersey St Ste 0
Ashland, OR 97520-5202
Phone
(541) 482-0625
Fax
(541) 482-3364
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3199 OR Primary

Addresses

Primary practice location

240 E Hersey St Ste 0
Ashland, OR 97520-5202

Mailing address

240 E Hersey St Ste 0
Ashland, OR 97520-5202
Phone (541) 482-0625

Other identifiers 1

IdentifierTypeStateIssuer
1245537521OtherORN/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140716000559 OR Practitioner - ChiropracticPractitioner - Sports Medicine 5496970071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Western States College of Chiropractic, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

240 E Hersey St
Suite 0
Ashland, OR 97520-5201
Phone (541) 482-0625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3199ORMDClinical Psychologist

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Living Water Physical Therapy Incorporated PastSince Jan 8, 2010 Accepting new patients

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1013096965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E HERSEY ST STE 0",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975205202",
            "telephone_number": "541-482-0625",
            "fax_number": "541-482-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E HERSEY ST STE 0",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975205202",
            "telephone_number": "541-482-0625",
            "fax_number": "541-482-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRERI",
        "first_name": "MATTHEW",
        "middle_name": "NORMAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-02-10",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1245537521",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.