Individual provider Active NPI

Matthew G Hooper, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1053358085
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8171 Issued in AZ
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

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
8171AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Active Lifestyle Chiropractic Chiropractor PastSince Feb 10, 2017 Accepting new patients
Mountainside Wellness Center Inc Chiropractor PastSince Nov 12, 2023 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.

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.

Verify at the official NPI Registry.