Active NPI
Matthew Lee Wheeler, D.C.
- Chiropractor
- Wildwood, MO
National Provider Identifier
1114183753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2008023699
- Practice address
- 2476 Taylor Rd
Wildwood, MO 63040-1222 - Phone
- (636) 458-7575
- Fax
- (636) 458-7979
- NPI assigned
- Aug 4, 2008
- 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 | 2008023699 | MO | Primary |
Addresses
Primary practice location
2476 Taylor Rd
Wildwood, MO 63040-1222
Mailing address
2476 Taylor Rd
Wildwood, MO 63040-1222
Phone (636) 458-7575
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2008023699 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrections Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Wildwood, MO
- NPI 1548416787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217808000000",
"number": "1114183753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2476 TAYLOR RD",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630401222",
"telephone_number": "636-458-7575",
"fax_number": "636-458-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2476 TAYLOR RD",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630401222",
"telephone_number": "636-458-7575",
"fax_number": "636-458-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "MATTHEW",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-04",
"last_updated": "2008-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2008023699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wildwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.