Individual provider Active NPI

Stephen Matochik, DC

  • Chiropractor
  • Wilton, CT
National Provider Identifier
1326194127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001156CT02 Issued in CT
Practice address
7 Danbury Rd
Wilton, CT 06897-4305
Phone
(203) 762-3400
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001156CT02 CT Primary

Addresses

Primary practice location

7 Danbury Rd
Wilton, CT 06897-4305

Mailing address

7 Danbury Rd
Wilton, CT 06897-4305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000013 CT Practitioner - Chiropractic 7618906652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7 Danbury Rd
Wilton, CT 06897-4305
Phone (203) 762-3400

7 Danbury Rd
Wilton, CT 06897-4320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1156CTMDAddiction (Substance Use Disorder) Counselor
001156CT02CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
South Wilton Chiropractic PC Chiropractor CurrentSince Nov 29, 2012 Accepting new patients

Locations

7 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326194127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974305",
            "telephone_number": "203-762-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOCHIK",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001156CT02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.