Individual provider Active NPI

Alyssa Christine Matthews, D.C.

  • Chiropractor
  • Hartford, WI
National Provider Identifier
1174064372
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5258 - 12 Issued in WI
Practice address
47 N Main St
Hartford, WI 53027-1531
Phone
(262) 337-5649
Fax
(262) 462-0608
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5258 - 12 WI Primary
Chiropractor 111N00000X 5258-12 WI

Addresses

Primary practice location

47 N Main St
Hartford, WI 53027-1531

Mailing address

47 N Main St
Hartford, WI 53027-1531
Phone (262) 337-5649

Other practice location 1

10625 W North Ave Ste Ll3
Wauwatosa, WI 53226-2315
Phone (414) 852-1330

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
5258 - 12WIMDChiropractor
5258-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Chiropractic LLC Chiropractor CurrentSince Feb 11, 2024 Accepting new patients
Davidson Family Chiropractic LLC Chiropractor CurrentSince May 1, 2021 Accepting new patients
Chiro First Inc PastSince Jul 30, 2017 Accepting new patients

Locations

47 N Main St
Hartford, WI 53027
Phone (262) 337-5649

21075 Swenson Dr
Ste 700
Waukesha, WI 53186
Phone (262) 754-6850

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1174064372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 N MAIN ST",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530271531",
            "telephone_number": "262-337-5649",
            "fax_number": "262-462-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 N MAIN ST",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530271531",
            "telephone_number": "262-337-5649",
            "fax_number": "262-462-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10625 W North Ave Ste Ll3",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532262315",
            "country_code": "US",
            "telephone_number": "414-852-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "ALYSSA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5258 - 12",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5258-12",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.