Matzke Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4698-12 Issued in WI

Legal business name

MATZKE CHIROPRACTIC LLC

Practice address

615 George St
De Pere, WI 54115-2809

Phone

(920) 347-5111

Fax

(920) 347-5112

NPI assigned

Dec 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Matzke, D.C.NPI 1639472772

Title

Chiropractor

Phone

(920) 347-5111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Matzke, D.C.

  • Chiropractor
  • De Pere, WI
  • NPI 1639472772
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1366745150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 GEORGE ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152809",
            "telephone_number": "920-347-5111",
            "fax_number": "920-347-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 GEORGE ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152809",
            "telephone_number": "920-347-5111",
            "fax_number": "920-347-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATZKE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "MATZKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-347-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4698-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Mathews
• Annalise M Mathisen, PA-C
• Elizabeth Rachel Mathu, APNP
• Justin Michael Mattern, PHARM.D.
• Margaret R Mattice, MSN, APNP-BC
• Thomas Matzke, D.C.
• Scott A Maxon
• Michelle Mayer, PHARM D
• Sean Brady McAdams, M.D.
• Alexis G McCarty

• Chiropractor in De Pere, WI
• Providers in De Pere, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.