Active NPI
Matthew John Clear, D.C.
- Chiropractor
- Saint Albans, VT
National Provider Identifier
1063583391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1058
- Practice address
- 278 N Main St
Saint Albans, VT 05478-2500 - Phone
- (802) 527-7064
- NPI assigned
- Nov 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1058 | VT | Primary |
Addresses
Primary practice location
278 N Main St
Saint Albans, VT 05478-2500
Mailing address
278 N Main St
Saint Albans, VT 05478-2500
Phone (802) 527-7064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050712000534 | VT | Practitioner - Chiropractic | 8325074271 | Practice locations: Saint Albans, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
278 N Main St
Saint Albans, VT 05478-2500
Phone (802) 527-7064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1058 | VT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1063583391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 N MAIN ST",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054782500",
"telephone_number": "802-527-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "278 N MAIN ST",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054782500",
"telephone_number": "802-527-7064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEAR",
"first_name": "MATTHEW",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VT",
"license": "1058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.