Active NPI
Matthew M Reese, DC
- Chiropractor
- Anacortes, WA
National Provider Identifier
1134512460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 60536159
- Practice address
- 3115 T Ave Ste 100
Anacortes, WA 98221-3472 - Phone
- (206) 557-4564
- Fax
- (206) 420-3089
- NPI assigned
- Mar 11, 2015
- 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 | CH 60536159 | WA | Primary |
Addresses
Primary practice location
3115 T Ave Ste 100
Anacortes, WA 98221-3472
Mailing address
3115 T Ave Ste 100
Anacortes, WA 98221-3472
Phone (206) 557-4564
Other practice location 1
18920 Bothell Way NE Ste 100
Bothell, WA 98011-1981
Phone (425) 486-1122
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 |
|---|---|---|---|
| CH 60536159 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bothell Regenerative Medicine | 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.
-
- Naturopath
- Bothell, WA
- NPI 1043872716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1134512460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 T AVE STE 100",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982213472",
"telephone_number": "206-557-4564",
"fax_number": "206-420-3089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 T AVE STE 100",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982213472",
"telephone_number": "206-557-4564",
"fax_number": "206-420-3089"
}
],
"practiceLocations": [
{
"address_1": "18920 Bothell Way NE Ste 100",
"address_purpose": "LOCATION",
"city": "Bothell",
"state": "WA",
"postal_code": "980111981",
"country_code": "US",
"telephone_number": "425-486-1122",
"fax_number": "425-487-6818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REESE",
"first_name": "MATTHEW",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-11",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH 60536159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anacortes, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.