Robert Bryan Mattson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008206 Issued in GA

Practice address

1600 Kennesaw Due West Rd NW # 501
Kennesaw, GA 30152-4340

Phone

(770) 429-5555

NPI assigned

Jul 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Due West Chiropractic and Rehabilitation LLC

  • Rehabilitation Chiropractor
  • Kennesaw, GA
  • NPI 1114069085
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1083804157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KENNESAW DUE WEST RD NW # 501",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524340",
            "telephone_number": "770-429-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KENNESAW DUE WEST RD NW # 501",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524340",
            "telephone_number": "770-429-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "ROBERT",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Patrick Mason, MD
• Ryan Mathew, M.D.
• Katherine Leigh Mathis, M.ED.CCC-SLP
• Nicole Adair Mathis, OT
• Stephanie L Mathis, FNP-C
• Jasmine Maxwell, FNP-S
• Nicole Maxwell
• Brooke Anderson May
• Carol Ann May, MA, LPC
• Adrienne Maye, RN, BSN, CDCES

• Chiropractor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.