Active NPI
Alyssa Christine Matthews, D.C.
- Chiropractor
- Hartford, WI
National Provider Identifier
1174064372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5258 - 12
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5258 - 12 | WI | MD | Chiropractor |
| 5258-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haven Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Davidson Family Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Chiro First Inc | Past | 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.
-
- Chiropractor
- Hartford, WI
- NPI 1992574321
-
- Chiropractor
- Waukesha, WI
- NPI 1780905133
-
- Clinic/Center
- Lincoln, NE
- NPI 1588802797
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.