Mathew Grose, D.C. Chiropractic Incorporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MATHEW GROSE, D.C. CHIROPRACTIC INCORPORATION

Doing business as

Grose Chiropractic Spine and Wellness

Practice address

4502 Maccorkle Ave SE
Suite B
Charleston, WV 25304-1835

Phone

(304) 925-1002

Fax

(681) 205-8382

NPI assigned

Sep 25, 2012

Organization subpart

No

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

Authorized official

Name

Mathew W Grose, D.C.

Title

Owner

Phone

(304) 925-1002

Specialties & licenses 1

Addresses

Other names 1

• Grose Chiropractic Spine and Wellness Doing business as

Locations

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1114278520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MACCORKLE AVE SE",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041835",
            "telephone_number": "304-925-1002",
            "fax_number": "681-205-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MACCORKLE AVE SE",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041835",
            "telephone_number": "304-925-1002",
            "fax_number": "681-205-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHEW GROSE, D.C. CHIROPRACTIC INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "GROSE",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-925-1002",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grose Chiropractic Spine and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica L Matheny, M.D.
• Linda Matheny
• Jeffrey Matherne, MD
• Cambrea Mathes
• Gregory A. Mathess, PA-C
• Gregory C Mathews, MD
• Victoria Matiga
• Alyvia Matlock
• Matthew Shaffer MD PLLC
• Chasity Matthews

• Chiropractor in Charleston, WV
• Providers in Charleston, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.