NPIMap

Organization Active NPI

Matz Family Chiropractic, P.C.

  • Chiropractor
  • Missoula, MT
National Provider Identifier
1285957019
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
545 Issued in MT
Legal business name
MATZ FAMILY CHIROPRACTIC, P.C.
Practice address
1519 S Reserve St
Missoula, MT 59801-4755
Phone
(406) 549-2006
Fax
(406) 549-6574
NPI assigned
Mar 8, 2010
Last updated
Mar 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Steven Scott Matz, D.C.
Title
Owner
Phone
(406) 549-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 545 MT Primary

Addresses

Primary practice location

1519 S Reserve St
Missoula, MT 59801-4755

Mailing address

1519 S Reserve St
Missoula, MT 59801-4755
Phone (406) 549-2006

Other identifiers 1

IdentifierTypeStateIssuer
M000004192OtherMTMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100618000456 MT Part B Supplier - Clinic/Group Practice 3274663182 Receives reassigned benefits from 16 practitioners
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Locations

1519 S Reserve St
Missoula, MT 59801
Phone (406) 549-2006

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1285957019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014755",
            "telephone_number": "406-549-2006",
            "fax_number": "406-549-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014755",
            "telephone_number": "406-549-2006",
            "fax_number": "406-549-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATZ FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "MATZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-549-2006",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M000004192",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.

Verify at the official NPI Registry.