Individual provider Active NPI

Matthew D Cherney, DC

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1376009852
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5432-12 Issued in WI
Practice address
2696 Noel Dr
Green Bay, WI 54311-6729
Phone
(920) 465-9020
Fax
(920) 465-9020
NPI assigned
Feb 20, 2019
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5432-12 WI Primary

Addresses

Primary practice location

2696 Noel Dr
Green Bay, WI 54311-6729

Mailing address

2696 Noel Dr
Green Bay, WI 54311-6729
Phone (920) 465-9020

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

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1376009852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 NOEL DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116729",
            "telephone_number": "920-465-9020",
            "fax_number": "920-465-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2696 NOEL DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116729",
            "telephone_number": "920-465-9020",
            "fax_number": "920-465-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNEY",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5432-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.