L. Russell Matthias, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003788 Issued in MO

Practice address

1050 NW South Outer Rd
Suite 400
Blue Springs, MO 64015-3064

Phone

(816) 228-5113

NPI assigned

Jul 19, 2005

Reactivated

Mar 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. L. Russell Matthias Professional name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1134128382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NW SOUTH OUTER RD STE 400",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153076",
            "telephone_number": "816-228-5133",
            "fax_number": "816-228-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NW SOUTH OUTER RD",
            "address_2": "SUITE 400",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153064",
            "telephone_number": "816-228-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHIAS",
        "first_name": "L.",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "003788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "L. RUSSELL",
            "last_name": "MATTHIAS",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dillon James Martinek, DC
• Kristen Martinez, PMHNP-BC
• Lennis J. Marvel, MSW
• Shareka Mason, LPC
• Matthew a Turner DDS PC
• Kaely Marie Mayden, AGNP-C
• McCob Styles (Dba Merle Norman Cosmetics)
• Heather Renee McCormick, RN
• Linda Jean McCormick, DO
• Dee Anna McCune, RPT

• Chiropractor in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; 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.