Organization Active NPI

Mattheson Chiropractic and Physical Therapy Center PLLC

Doing business as Mattheson Chiropractic and Physical Therapy Center

  • Chiropractor
  • Dover, NH
National Provider Identifier
1295205078
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MATTHESON CHIROPRACTIC AND PHYSICAL THERAPY CENTER PLLC
Doing business as
Mattheson Chiropractic and Physical Therapy Center
Practice address
812 Central Ave
Dover, NH 03820-2520
Phone
(603) 742-5881
Fax
(603) 742-6613
NPI assigned
Dec 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Thomas MatthesonNPI 1417257353
Title
Owner
Phone
(603) 742-5881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

812 Central Ave
Dover, NH 03820-2520

Mailing address

812 Central Ave
Dover, NH 03820-2520
Phone (603) 742-5881

Other names 1

  • Mattheson Chiropractic and Physical Therapy Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181218001403 NH Part B Supplier - Clinic/Group Practice 1850636937 Receives reassigned benefits from 1 practitioner
Practice locations: Dover, NH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1295205078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202520",
            "telephone_number": "603-742-5881",
            "fax_number": "603-742-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202520",
            "telephone_number": "603-742-5881",
            "fax_number": "603-742-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHESON CHIROPRACTIC AND PHYSICAL THERAPY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "MATTHESON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-742-5881"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mattheson Chiropractic and Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.