Active NPI
Matthew Tuttle, DC
- Chiropractor
- Waipahu, HI
National Provider Identifier
1154984516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1009
- Practice address
- 94-137 Leoleo St
Waipahu, HI 96797-2233 - Phone
- (808) 779-0144
- NPI assigned
- Apr 20, 2019
- 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 | 1009 | HI | Primary |
Addresses
Primary practice location
94-137 Leoleo St
Waipahu, HI 96797-2233
Mailing address
87-1114 Oheohe St
Waianae, HI 96792-3456
Phone (808) 779-0144
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1009 | HI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back 40 Chiropractic Clinic, PLLC | Chiropractor | Current | Accepting new patients |
| Integrated Medical, PA | Past | Accepting new patients |
Locations
3406 Bella Vista Way
Bella Vista, AR 72714
Phone (479) 888-8122
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.
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- Chiropractor
- Bella Vista, AR
- NPI 1033821467
-
- Family Medicine Physician
- Rogers, AR
- NPI 1982079398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1154984516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87-1114 OHEOHE ST",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967923456",
"telephone_number": "808-779-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-137 LEOLEO ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967972233",
"telephone_number": "808-779-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTLE",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-20",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "1009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.