Matthew Wayne McReynolds, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1895 Issued in NM

Practice address

909 S Gold Ave
Deming, NM 88030-4754

Phone

(575) 546-5757

NPI assigned

Sep 24, 2007

Last updated

Oct 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carlson Chiropractic Center PC

  • Chiropractor
  • Joplin, MO
  • NPI 1760546584
  NPD (past)
• Hurst Inc

  dba Hurst Chiropractic Center

  • Chiropractor
  • Burley, ID
  • NPI 1386869444
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1184810194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S GOLD AVE",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304754",
            "telephone_number": "575-546-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S GOLD AVE",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304754",
            "telephone_number": "575-546-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCREYNOLDS",
        "first_name": "MATTHEW",
        "middle_name": "WAYNE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1273",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NMAA1383",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Valentina Martinez Morales, DMD
• Marina Janell Martinez, SLP
• Sahra J Martinez, SLP
• Robert C Mayfield, PH. D
• Thomas Allen McClendon, FNP-C
• Med Lift, Inc.
• Sandtina M. Melendrez
• Josefina Ramirez Mendoza, SOCIAL WORKER
• Kevin Tracy Merrell, M.D.,PH.D.
• Yamel S Meza Beltran

• Chiropractor in Deming, NM
• Providers in Deming, NM by specialty
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.