Organization Active NPI

Matthew Richter DC Chiropractic Inc

  • Chiropractor
  • Corona, CA
National Provider Identifier
1336386887
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25172 Issued in CA
Legal business name
MATTHEW RICHTER DC CHIROPRACTIC INC
Practice address
854 Magnolia Ave
Ste. J
Corona, CA 92879-3109
Phone
(951) 817-9815
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Dr. Matthew Richter, D.C.NPI 1720185606
Title
President
Phone
(951) 817-9815

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 DC25172 CA Primary

Addresses

Primary practice location

854 Magnolia Ave
Ste. J
Corona, CA 92879-3109

Mailing address

7931 Port Arthur Dr
Corona, CA 92880-3542

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090915000220 CA Part B Supplier - Clinic/Group Practice 4385790492 Receives reassigned benefits from 1 practitioner
Practice locations: Corona, CA

National Provider Directory

National Provider Directory

Locations

854 Magnolia Ave
Ste J
Corona, CA 92879
Phone (951) 817-9815

Practitioners & affiliated clinicians

Practitioners 3

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": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1336386887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 PORT ARTHUR DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 MAGNOLIA AVE",
            "address_2": "STE. J",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793109",
            "telephone_number": "951-817-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW RICHTER DC CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-817-9815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.