Douglas G Matzner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-004488 Issued in IL

Practice address

1712 S Duncan Rd
Suite B
Champaign, IL 61822-5224

Phone

(217) 359-6625

Fax

(217) 355-9771

NPI assigned

Jul 13, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1154347433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 S DUNCAN RD",
            "address_2": "SUITE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618225224",
            "telephone_number": "217-359-6625",
            "fax_number": "217-355-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 S DUNCAN RD",
            "address_2": "SUITE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618225224",
            "telephone_number": "217-359-6625",
            "fax_number": "217-355-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZNER",
        "first_name": "DOUGLAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-004488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Mason
• Rachel Mateyka
• Wendy Mathewson, LPC
• Rachel McCullough Matthews, D.MIN., LPC, LCPC
• Venu Maturi, DDS
• Alexis Maubach
• Carol Weissmann Mauck, MSW, LCSW,ACSW
• Daphne D Maurer, MD
• James Charles Maurer, L.C.S.W.
• Dianne Maxwell, NP

• Chiropractor in Champaign, IL
• Providers in Champaign, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.