Individual provider Active NPI

Matthew John Francoeur, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1104150135
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1582 Issued in NE
Practice address
2085 N 120TH St
Suite D-6
Omaha, NE 68164-3479
Phone
(402) 496-4570
NPI assigned
Sep 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1582 NE Primary

Addresses

Primary practice location

2085 N 120TH St
Suite D-6
Omaha, NE 68164-3479

Mailing address

2085 N 120TH St
Suite D-6
Omaha, NE 68164-3479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100304000212 NE Practitioner - Chiropractic 1850436627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Koca Chiropractic ClinicGroup PAC ID 5799852356, 2 clinicians

Practice addresses (Care Compare)

11420 Blondo St
Suite 102
Omaha, NE 68164-3858
Phone (402) 496-4570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1104150135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 N 120TH ST",
            "address_2": "SUITE D-6",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 N 120TH ST",
            "address_2": "SUITE D-6",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643479",
            "telephone_number": "402-496-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCOEUR",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.