NPIMap

Organization Active NPI

Matheson Chiropractic & Wellness Center, LLC

  • Chiropractor
  • Kennewick, WA
National Provider Identifier
1164714887
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60176125 Issued in WA
Legal business name
MATHESON CHIROPRACTIC & WELLNESS CENTER, LLC
Practice address
515 N Neel St
BLDG C, Suite 105
Kennewick, WA 99336-2284
Phone
(509) 783-4994
Fax
(509) 783-5494
NPI assigned
May 12, 2011
Last updated
May 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Dr. Benjamin J Matheson, DCNPI 1659674521
Title
Chiropractor/Owner
Phone
(509) 783-4994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60176125 WA Primary

Addresses

Primary practice location

515 N Neel St
BLDG C, Suite 105
Kennewick, WA 99336-2284

Mailing address

515 N Neel St
BLDG C, Suite 105
Kennewick, WA 99336-2284
Phone (509) 783-4994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111010000418 WA Part B Supplier - Clinic/Group Practice 1759553043 Receives reassigned benefits from 1 practitioner
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Locations

515 N Neel St
Ste C105
Kennewick, WA 99336
Phone (509) 509-1501

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1164714887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N NEEL ST",
            "address_2": "BLDG C, SUITE 105",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362284",
            "telephone_number": "509-783-4994",
            "fax_number": "509-783-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N NEEL ST",
            "address_2": "BLDG C, SUITE 105",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362284",
            "telephone_number": "509-783-4994",
            "fax_number": "509-783-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHESON CHIROPRACTIC & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "MATHESON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "509-783-4994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60176125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.