Individual provider Active NPI

Matthew W Hassey

  • Chiropractor
  • El Dorado Hills, CA
National Provider Identifier
1154560886
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31103 Issued in CA
Practice address
1200 Suncast LN
2
El Dorado Hills, CA 95762-9664
Phone
(916) 626-4300
Fax
(866) 954-5125
NPI assigned
Feb 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31103 CA Primary

Addresses

Primary practice location

1200 Suncast LN
2
El Dorado Hills, CA 95762-9664

Mailing address

1200 Suncast LN
2
El Dorado Hills, CA 95762-9664
Phone (916) 626-4300

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
31103CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1154560886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SUNCAST LN",
            "address_2": "2",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629664",
            "telephone_number": "916-626-4300",
            "fax_number": "866-954-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SUNCAST LN",
            "address_2": "2",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629664",
            "telephone_number": "916-626-4300",
            "fax_number": "866-954-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSEY",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.