Active NPI
Matthew Anthony Giessman, DC
- Chiropractor
- Pleasanton, CA
National Provider Identifier
1255086724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 36223
- Practice address
- 148 Ray St Ste a
Pleasanton, CA 94566-6649 - Phone
- (925) 484-0191
- NPI assigned
- Feb 14, 2022
- 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 | 36223 | CA | Primary |
Addresses
Primary practice location
148 Ray St Ste a
Pleasanton, CA 94566-6649
Mailing address
148 Ray St Ste a
Pleasanton, CA 94566-6649
Phone (925) 484-0191
Other practice location 1
1120 2nd St Unit 1
Brentwood, CA 94513-2295
Phone (925) 513-8883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240304003889 | CA | Practitioner - Chiropractic | 5799120473 | Practice locations: Brentwood, CA; Pleasanton, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1255086724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 RAY ST STE A",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666649",
"telephone_number": "925-484-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 RAY ST STE A",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666649",
"telephone_number": "925-484-0191"
}
],
"practiceLocations": [
{
"address_1": "1120 2nd St Unit 1",
"address_purpose": "LOCATION",
"city": "Brentwood",
"state": "CA",
"postal_code": "945132295",
"country_code": "US",
"telephone_number": "925-513-8883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIESSMAN",
"first_name": "MATTHEW",
"middle_name": "ANTHONY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-14",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "36223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.