Mattson Family Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007489 Issued in MI

Legal business name

MATTSON FAMILY CHIROPRACTIC PC

Practice address

520 E Ayer St
Ironwood, MI 49938-2204

Phone

(906) 932-4605

Fax

(906) 932-4875

NPI assigned

Sep 16, 2006

Last updated

Jan 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dorian L Mattson, DCNPI 1063618510

Title

President

Phone

(906) 932-4605

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: dori@mfc0007.direct.chirotouch.md

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dorian L Mattson, DC

  • Chiropractor
  • Ironwood, MI
  • NPI 1063618510
  Medicare reassignment NPD Authorized official
• Eric Daniel Marcotte, D.C.

  • Chiropractor
  • Surprise, AZ
  • NPI 1508055484
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1356447213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E AYER ST",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499382204",
            "telephone_number": "906-932-4605",
            "fax_number": "906-932-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E AYER ST",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499382204",
            "telephone_number": "906-932-4605",
            "fax_number": "906-932-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTSON FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "DORIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-932-4605",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38934400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPHP",
            "identifier": "4361323",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "950B710200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark E Stempihar, M.D., P.C. (Great Lakes Eye Specialists)
• Mark E. Stempihar, M.D., P.C.
• Tina M Marshall, NP
• Gayle J Maslakow, FNP-C, CDE
• Peter James Massoglia, LPN
• Dorian L Mattson, DC
• Monica McCarter
• Michael David McPherson, PT, DPT
• Rebecca Lynn Mika, OTR
• Richard A Miller, OD

• Chiropractor in Ironwood, MI
• Providers in Ironwood, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.