Matthew Ray Chenault, D. C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009435 Issued in IL

Practice address

1105 E Harris Ave
Greenville, IL 62246-2221

Phone

(618) 664-4600

NPI assigned

Oct 16, 2006

Last updated

Jun 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenville Rehab and Pain Clinic SCGroup PAC ID 9830105774, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Greenville Rehab & Pain Clinic SC

  • Chiropractor
  • Greenville, IL
  • NPI 1629197066
  Medicare reassignment Care Compare group NPD Authorized official
• Greenville Rehab & Pain Clinic

  dba Carlyle Rehab & Pain Clinic

  • Chiropractor
  • Carlyle, IL
  • NPI 1326297854
  NPD Authorized official
• GRPC Wellness Clinic SC

  • Physical Medicine & Rehabilitation Physician
  • Greenville, IL
  • NPI 1366861155
  Authorized official Same address or phone
• Optimum Wellness and Rehabilitation PC

  • Chiropractor
  • Glen Carbon, IL
  • NPI 1861540239
  NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1215027438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 VESCI AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620402925",
            "telephone_number": "618-659-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E HARRIS AVE",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622462221",
            "telephone_number": "618-664-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENAULT",
        "first_name": "MATTHEW",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038009435",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "51316",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0332010",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "412192761",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00287309",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "109433",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "466637",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "DE3519",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Marie Carmicheal, M.D.
• Marty Caudle, PA
• Cep America Illinois Intensivists
• Cep America-Illinois Hospitalists, LLP
• Cepamerica Illinois LLP
• Huzefa Chinwala, M.D.
• Vincent Silas Coll Jr., DC
• Community Living Options Inc (Brauns Terrace)
• Stephanie A Comrie, RN/BSN, MSN ,FNP-BC
• Jemila Maxine Crawford, M.D.

• Chiropractor in Greenville, IL
• Providers in Greenville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.