Individual provider Active NPI

Matthan Wheeler, DC

  • Chiropractor
  • Post Falls, ID
National Provider Identifier
1013486224
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1900 Issued in ID
Practice address
3904 E Mullan Ave Ste C
Post Falls, ID 83854-4009
Phone
(208) 981-0093
Fax
(208) 981-0125
NPI assigned
Nov 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1900 ID Primary

Addresses

Primary practice location

3904 E Mullan Ave Ste C
Post Falls, ID 83854-4009

Mailing address

3904 E Mullan Ave Ste C
Post Falls, ID 83854-4009
Phone (208) 981-0093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307001845 ID Practitioner - Chiropractic 5294074381 Reassigns benefits to 1 organization
Practice locations: Post Falls, ID

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1900IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
M Wheeler PLLC Chiropractor CurrentSince Nov 22, 2022 Accepting new patients

Locations

151 W 3rd Ave
Ste 101
Post Falls, ID 83854
Phone (208) 981-0093

3904 E Mullan Ave
Ste C
Post Falls, ID 83854
Phone (208) 786-0569

Organizations & group practices 1

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": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1013486224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 E MULLAN AVE STE C",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544009",
            "telephone_number": "208-981-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 E MULLAN AVE STE C",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544009",
            "telephone_number": "208-981-0093",
            "fax_number": "208-981-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "MATTHAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-16",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "1900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.