Organization Active NPI

Matheny Chiropractic Center

  • Specialist
  • Bellevue, WA
National Provider Identifier
1356565444
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00021246 Issued in WA
Legal business name
MATHENY CHIROPRACTIC CENTER
Practice address
555 108TH Ave NE
Bellevue, WA 98004-5578
Phone
(425) 452-9280
Fax
(425) 452-9306
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Jeffrey L Matheny, D.C
Title
Chiropractic
Phone
(425) 452-9280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA00021246 WA Primary

Addresses

Primary practice location

555 108TH Ave NE
Bellevue, WA 98004-5578

Mailing address

555 108TH Ave NE
Bellevue, WA 98004-5578
Phone (425) 452-9280

Other names 1

  • Matheny Chiropractic Former legal business name

National Provider Directory

National Provider Directory

Locations

555 108th Ave NE
Bellevue, WA 98004
Phone (425) 452-9280

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1356565444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 108TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045578",
            "telephone_number": "425-452-9280",
            "fax_number": "425-452-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 108TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045578",
            "telephone_number": "425-452-9280",
            "fax_number": "425-452-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHENY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "MATHENY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "425-452-9280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00021246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matheny Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.