Mathew David Ullom, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

6192 Issued in CO

Practice address

2550 Stover St
BLDG. F
Fort Collins, CO 80525-4641

Phone

(970) 491-9191

Fax

(970) 223-2293

NPI assigned

Jun 11, 2008

Last updated

Jun 11, 2008By the provider in NPPES

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rocky Mountain Chiro Care, P.C.

  • Point of Service
  • Fort Collins, CO
  • NPI 1710147103
  Authorized official Same address or phone
• Wakita Chiropractic Office, P.C.

  • Chiropractor
  • Fort Collins, CO
  • NPI 1902177397
  NPD

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1093975203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 STOVER ST",
            "address_2": "BLDG. F",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254641",
            "telephone_number": "970-491-9191",
            "fax_number": "970-223-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 STOVER ST",
            "address_2": "BLDG. F",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254641",
            "telephone_number": "970-491-9191",
            "fax_number": "970-223-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLOM",
        "first_name": "MATHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "6192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Katherine Uhl
• Anne Christine Uhlman, LPC
• Timothy James Uldrich, P.A.
• Lara B. Ulfers, MS, RD, CSSD
• Ryan Levi Ulibarri, DDS
• Emily Rose Herring Ullrich, MS
• Kelly Elise Ulmer, LPC, CEDS-S
• Cathy McAnsh Ulrich
• Ultimate Expression LLC
• Samantha Umland

• Rehabilitation Chiropractor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Rehabilitation Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.