Individual provider Active NPI

Matthew Alan Uchtman, D.C.

  • Chiropractor
  • Belleville, IL
National Provider Identifier
1356531420
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010951 Issued in IL
Practice address
3030 Frank Scott Pkwy W
Suite 1
Belleville, IL 62223-5014
Phone
(618) 236-3600
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 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 038010951 IL Primary

Addresses

Primary practice location

3030 Frank Scott Pkwy W
Suite 1
Belleville, IL 62223-5014

Mailing address

1812 Carondalet Dr
Ste 102
Cape Girardeau, MO 63701-2284
Phone (618) 236-3600

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
038010951ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnessone of East Belleville, LLC Chiropractor Past Accepting new patients

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1356531420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 CARONDALET DR",
            "address_2": "STE 102",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012284",
            "telephone_number": "618-236-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 FRANK SCOTT PKWY W",
            "address_2": "SUITE 1",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235014",
            "telephone_number": "618-236-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCHTMAN",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.