Individual provider Active NPI

Matthew Weaver

  • Chiropractor
  • Denver, CO
National Provider Identifier
1366169013
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008585 Issued in CO
Practice address
300 S Jackson St Ste 105
Denver, CO 80209-3131
Phone
(303) 474-4811
NPI assigned
Oct 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0008585 CO Primary

Addresses

Primary practice location

300 S Jackson St Ste 105
Denver, CO 80209-3131

Mailing address

300 S Jackson St Ste 105
Denver, CO 80209-3131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425003343 CO Practitioner - Chiropractic 3870933724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Integrated Care Network LLCGroup PAC ID 0244770279, 16 clinicians

Practice addresses (Care Compare)

1823 Ford St
Suite 35
Golden, CO 80401-2546
Phone (303) 641-2254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008585COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Integrated Care Network LLC CurrentSince Apr 28, 2025 Accepting new patients
Docspitz Performance Clinic Chiropractor CurrentSince Feb 19, 2024 Accepting new patients
Back and Joint Clinic Chiropractor Current Accepting new patients

Locations

1823 Ford St
Ste 35
Golden, CO 80401
Phone (303) 641-2254

13982 W Bowles Ave
Ste 102
Littleton, CO 80127
Phone (303) 932-2225

Interoperability endpoints

  • Direct secure messaging: matthew.weaver.2@29676.direct.athenahealth.com

Organizations & group practices 3

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": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1366169013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093131",
            "telephone_number": "303-474-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.