Individual provider Active NPI

Matthew D Freedman, DC

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1073532370
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26195 Issued in CA
Practice address
85343 N Hideaway Hills Rd
Eugene, OR 97405-9013
Phone
(541) 844-6924
Fax
(541) 762-5633
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26195 CA Primary

Addresses

Primary practice location

85343 N Hideaway Hills Rd
Eugene, OR 97405-9013

Mailing address

85343 N Hideaway Hills Rd
Eugene, OR 97405-9013
Phone (541) 844-6924

Other identifiers 1

IdentifierTypeStateIssuer
DC0261950MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3808ORMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Proactive Health Care LLC CurrentSince May 12, 2024 Accepting new patients
Healing Motion Physical Therapy, Inc. PastSince Nov 9, 2023 Accepting new patients

Locations

315 W Broadway
Ste 100
Eugene, OR 97401
Phone (541) 206-2271

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1073532370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85343 N HIDEAWAY HILLS RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974059013",
            "telephone_number": "541-844-6924",
            "fax_number": "541-762-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85343 N HIDEAWAY HILLS RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974059013",
            "telephone_number": "541-844-6924",
            "fax_number": "541-762-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0261950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.