Individual provider Active NPI

Mathias Rivers

  • Chiropractor
  • Sedro Woolley, WA
National Provider Identifier
1144677170
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00745200 Issued in NJ
Practice address
700 Murdock St
Suite B
Sedro Woolley, WA 98284-1426
Phone
(360) 855-1021
NPI assigned
May 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00745200 NJ Primary

Addresses

Primary practice location

700 Murdock St
Suite B
Sedro Woolley, WA 98284-1426

Mailing address

280 US Highway 9
Morganville, NJ 07751-1572
Phone (262) 672-0904

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

LicenseStateTypeSpecialty
38MC00745200NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Innate Health & Wellness Chiropractor Current Accepting new patients
Health First Chiropractic Inc PS Chiropractor PastSince Jul 1, 2016 Accepting new patients

Locations

421 Broadway
Bayonne, NJ 07002
Phone (609) 486-2150

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": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1144677170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 US HIGHWAY 9",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511572",
            "telephone_number": "262-672-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MURDOCK ST",
            "address_2": "SUITE B",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841426",
            "telephone_number": "360-855-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "MATHIAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-19",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00745200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.