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Organization Active NPI

Oakwood Family Chiropractic LLC

Doing business as Matson Family Chiropractic

  • Chiropractor
  • Oakwood, OH
National Provider Identifier
1164898268
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4391 Issued in OH
Legal business name
OAKWOOD FAMILY CHIROPRACTIC LLC
Doing business as
Matson Family Chiropractic
Practice address
411 Hakes St
Oakwood, OH 45873-0006
Phone
(419) 594-3378
Fax
(419) 594-3379
NPI assigned
Aug 12, 2015
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dr. Danielle Nicole Matson, DC
Title
Owner/DC
Phone
(419) 594-3378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4391 OH Primary

Addresses

Primary practice location

411 Hakes St
Oakwood, OH 45873-0006

Mailing address

PO Box 6
Oakwood, OH 45873-0006
Phone (419) 594-3378

Other names 1

  • Matson Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151214000350 OH Part B Supplier - Clinic/Group Practice 3375844590 Receives reassigned benefits from 1 practitioner
Practice locations: Oakwood, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1164898268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "458730006",
            "telephone_number": "419-594-3378",
            "fax_number": "419-594-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HAKES ST",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "458730006",
            "telephone_number": "419-594-3378",
            "fax_number": "419-594-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "MATSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/DC",
        "authorized_official_telephone_number": "419-594-3378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matson Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.