Individual provider Active NPI

Matthew Maley

  • Chiropractor
  • Bellville, OH
National Provider Identifier
1043750409
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-04895 Issued in OH
Practice address
110 Main St
Bellville, OH 44813-1021
Phone
(419) 719-8220
NPI assigned
Mar 6, 2017
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-04895 OH Primary

Addresses

Primary practice location

110 Main St
Bellville, OH 44813-1021

Mailing address

110 Main St
Bellville, OH 44813-1021
Phone (419) 719-8220

Other practice location 1

675 Cooper Rd
Westerville, OH 43081-8962
Phone (614) 895-2225

Other practice location 2

413 Maple St
Munising, MI 49862-1088
Phone (906) 387-2447

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191120001558 OH Practitioner - Chiropractic 6507141637 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laura V Skaates DC Inc Chiropractor CurrentSince Oct 1, 2019 Accepting new patients
Hometown Chiropractic LLC Chiropractor CurrentSince Jul 26, 2022 Accepting new patients

Locations

110 Main St
Bellville, OH 44813
Phone (419) 719-8220

675 Cooper Rd
Westerville, OH 43081
Phone (614) 892-2225

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1043750409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "city": "BELLVILLE",
            "state": "OH",
            "postal_code": "448131021",
            "telephone_number": "419-719-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "city": "BELLVILLE",
            "state": "OH",
            "postal_code": "448131021",
            "telephone_number": "419-719-8220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Cooper Rd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430818962",
            "country_code": "US",
            "telephone_number": "614-895-2225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 Maple St",
            "address_purpose": "LOCATION",
            "city": "Munising",
            "state": "MI",
            "postal_code": "498621088",
            "country_code": "US",
            "telephone_number": "906-387-2447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALEY",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-06",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.