Active NPI
Matthew G Hooper, D.C.
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1053358085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8171
- Practice address
- 4350 E Ray Rd Ste 110
Phoenix, AZ 85044-4704 - Phone
- (480) 652-1234
- Fax
- (480) 361-7719
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29064 | CA | |
| Chiropractor | 111N00000X | 8171 | AZ | Primary |
Addresses
Primary practice location
4350 E Ray Rd Ste 110
Phoenix, AZ 85044-4704
Mailing address
4350 E Ray Rd Ste 110
Phoenix, AZ 85044-4704
Phone (480) 652-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110429000185 | AZ | Practitioner - Chiropractic | 2466558002 | Practice locations: Phoenix, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5110 E Warner Rd
Suite 201
Phoenix, AZ 85044-3370
Phone (480) 652-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8171 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Lifestyle Chiropractic | Chiropractor | Past | Accepting new patients |
| Mountainside Wellness Center Inc | Chiropractor | Past | Accepting new patients |
| Fisher Family Chiropractic Inc | Chiropractor | Past | Accepting new patients |
| Charles a. Saenz | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Chiropractor
- Phoenix, AZ
- NPI 1083905301
-
- Chiropractor
- Phoenix, AZ
- NPI 1053583450
-
- Chiropractor
- Modesto, CA
- NPI 1598780280
-
- Chiropractor
- Modesto, CA
- NPI 1669740148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1053358085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 E RAY RD STE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850444704",
"telephone_number": "480-652-1234",
"fax_number": "480-361-7719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 E RAY RD STE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850444704",
"telephone_number": "480-652-1234",
"fax_number": "480-361-7719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOPER",
"first_name": "MATTHEW",
"middle_name": "G",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2023-05-23",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29064",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.