Matthew Dustin Chase, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008066-1 Issued in NY

Practice address

17 Pine St, 1 Irongate Center
Suite 3
Glens Falls, NY 12801

Phone

(518) 743-0163

Fax

(518) 743-0973

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chase Chiropractic LLC

  • Chiropractor
  • Glens Falls, NY
  • NPI 1104087667
  Medicare reassignment Authorized official
• Moselle Chiropractic Center, PC

  • Chiropractor
  • Glens Falls, NY
  • NPI 1376661470
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1295823581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PINE ST, 1 IRONGATE CENTER",
            "address_2": "SUITE 3",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-743-0163",
            "fax_number": "518-743-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PINE ST, 1 IRONGATE CENTER",
            "address_2": "SUITE 3",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-743-0163",
            "fax_number": "518-743-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "MATTHEW",
        "middle_name": "DUSTIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008066-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Chambers
• Carolyn Chapman
• Charles L. Lowe, M.D.
• Abigail R Charter, PA
• Chase Chiropractic LLC
• Michael Chase, MD
• Asim Chaudry, M.D.
• Alison Chesnick, RD
• Robin T Chiaravalle, MSW
• Dawn Schad Chivers, O.D.

• Chiropractor in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.