Active NPI
Matthew Worth, DC, DACNB
- Neurology Chiropractor
- Valley Park, MO
National Provider Identifier
1205922283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 0006485
- Practice address
- 2007 Smizer Station Rd
Valley Park, MO 63088-2097 - Phone
- (636) 861-8558
- Fax
- (636) 825-6176
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 0006485 | MO | Primary |
Addresses
Primary practice location
2007 Smizer Station Rd
Valley Park, MO 63088-2097
Mailing address
PO Box 672
Fenton, MO 63026-0672
Phone (636) 861-8558
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110148 | Other | MO | BCBS |
| 293524 | Other | MO | HEALTHLINK |
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 |
|---|---|---|---|
| 0006485 | MO | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Chiropractic LLC | Past | Accepting new patients | |
| West County Physical Medicine | Neurology | Past | Accepting new patients |
Organizations & group practices 2
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
- Ballwin, MO
- NPI 1003856832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205922283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 672",
"city": "FENTON",
"state": "MO",
"postal_code": "630260672",
"telephone_number": "636-861-8558",
"fax_number": "636-825-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 SMIZER STATION RD",
"city": "VALLEY PARK",
"state": "MO",
"postal_code": "630882097",
"telephone_number": "636-861-8558",
"fax_number": "636-825-6176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTH",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DC, DACNB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "MO",
"license": "0006485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "110148",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "293524",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valley Park, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.