Individual provider Active NPI

Matthew Michael Klemm, D.C.

  • Chiropractor
  • Hannibal, MO
National Provider Identifier
1316231749
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2011013944 Issued in MO
Practice address
7 Melgrove LN
Suite 101
Hannibal, MO 63401-2275
Phone
(573) 248-1393
Fax
(573) 248-2189
NPI assigned
Jun 2, 2011
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2011013944 MO Primary

Addresses

Primary practice location

7 Melgrove LN
Suite 101
Hannibal, MO 63401-2275

Mailing address

7 Melgrove LN
Ste 101
Hannibal, MO 63401-2275
Phone (573) 248-1393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011013944MOMDChiropractor

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.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1316231749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MELGROVE LN",
            "address_2": "STE 101",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012275",
            "telephone_number": "573-248-1393",
            "fax_number": "573-248-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MELGROVE LN",
            "address_2": "SUITE 101",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012275",
            "telephone_number": "573-248-1393",
            "fax_number": "573-248-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMM",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011013944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.