Active NPI
Matthias H Hutzenbiler, D.C.
- Chiropractor
- Dickinson, ND
National Provider Identifier
1235334988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 792
- Practice address
- 1428 W Villard St
Dickinson, ND 58601-4648 - Phone
- (701) 483-6917
- Fax
- (701) 483-6916
- NPI assigned
- Jun 20, 2007
- Last updated
- Sep 13, 2012
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 792 | ND | Primary |
Addresses
Primary practice location
1428 W Villard St
Dickinson, ND 58601-4648
Mailing address
1428 W Villard St
Dickinson, ND 58601-4648
Phone (701) 483-6917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14367 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1428 W Villard St
Dickinson, ND 58601-4648
Phone (701) 483-6917
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hutzenbiler Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
1428 W Villard St
Dickinson, ND 58601
Phone (701) 483-6917
Organizations & group practices 1
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.
-
- Chiropractor
- Dickinson, ND
- NPI 1962751511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1235334988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 W VILLARD ST",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014648",
"telephone_number": "701-483-6917",
"fax_number": "701-483-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 W VILLARD ST",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014648",
"telephone_number": "701-483-6917",
"fax_number": "701-483-6916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTZENBILER",
"first_name": "MATTHIAS",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-20",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14367",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.