Active NPI
Matthew G Thompson, DC
- Chiropractor
- Winchester, KY
National Provider Identifier
1366955288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR2546
- Practice address
- 1199 W Lexington Ave
Winchester, KY 40391-1134 - Phone
- (859) 737-5800
- Fax
- (859) 737-5801
- NPI assigned
- Nov 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR2546 | ME | Primary |
| Chiropractor | 111N00000X | 5551 | KY |
Addresses
Primary practice location
1199 W Lexington Ave
Winchester, KY 40391-1134
Mailing address
20 E Blue Hill Rd
P.O. Box 326
Blue Hill, ME 04614-5312
Phone (207) 374-2186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100495640 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Shaws CV
New London, CT 06320-4902
Phone (860) 447-8304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CR2546 | ME | MD | Chiropractor |
| 5551 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center Inc | Current | Accepting new patients | |
| Community Health Center Inc | Current | Accepting new patients |
Locations
19 Grand St
Middletown, CT 06457
Phone (860) 323-0172
1 Shaws Cv
New London, CT 06320
Phone (860) 447-8304
Interoperability endpoints
- matthew.thompson@chcict.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Middletown, CT
- NPI 1952591851
-
- Federally Qualified Health Center (FQHC)
- Danbury, CT
- NPI 1003332446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1366955288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 E BLUE HILL RD",
"address_2": "P.O. BOX 326",
"city": "BLUE HILL",
"state": "ME",
"postal_code": "046145312",
"telephone_number": "207-374-2186",
"fax_number": "207-374-5235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 W LEXINGTON AVE",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403911134",
"telephone_number": "859-737-5800",
"fax_number": "859-737-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MATTHEW",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-14",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "CR2546",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5551",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100495640",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.