Individual provider Active NPI

Tyler Scott Matte, DC

  • Chiropractor
  • Sulphur, LA
National Provider Identifier
1124803382
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1992 Issued in LA
Practice address
671 S Post Oak Rd
Sulphur, LA 70663-3631
Phone
(337) 888-3144
NPI assigned
Aug 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1992 LA Primary

Addresses

Primary practice location

671 S Post Oak Rd
Sulphur, LA 70663-3631

Mailing address

1745 N Gabriel SQ
Lake Charles, LA 70611-3654
Phone (337) 661-1163

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423001535 LA Practitioner - Chiropractic 1759720857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Chiropractic and Rehabilitation Sulphur LLCGroup PAC ID 2668724808, 2 clinicians

Practice addresses (Care Compare)

671 S Post Oak Rd
Sulphur, LA 70663-3631
Phone (337) 888-3144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Chiropractic and Rehabilitation Sulphur LLC Chiropractor CurrentSince Feb 26, 2024 Accepting new patients
Koni B. Bridges, LCSW LLC PastSince Sep 5, 2023 Accepting new patients

Locations

671 S Post Oak Rd
Sulphur, LA 70663
Phone (337) 625-5664

Organizations & group practices 2

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1124803382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 N GABRIEL SQ",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706113654",
            "telephone_number": "337-661-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 S POST OAK RD",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633631",
            "telephone_number": "337-888-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTE",
        "first_name": "TYLER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.