Denise P. Mathre, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC24828 Issued in CA

Practice address

12150 Industry Blvd Ste 45
Jackson, CA 95642-9375

Phone

(209) 223-4442

Fax

(209) 231-5144

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: achievingbalance.denisemathre@152706.advancedmd-direct.com

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.

• Denise Mathre Chiropractic Corporation

  • Chiropractor
  • Jackson, CA
  • NPI 1346662269

  CA, Chiropractor

  Medicare reassignment NPD Authorized official
• Zavacki Chiropractic Health Management Inc

  • Chiropractor
  • San Diego, CA
  • NPI 1982042123
  NPD

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1376643106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 INDUSTRY BLVD STE 45",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429375",
            "telephone_number": "209-223-4442",
            "fax_number": "209-231-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 INDUSTRY BLVD STE 45",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429375",
            "telephone_number": "209-223-4442",
            "fax_number": "209-231-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHRE",
        "first_name": "DENISE",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary A Little, RDH
• Cassidy Lobaugh, RN
• Longs Drug Stores California LLC
• M a C T Health Board Incorporated
• Jaskaren Mahal
• Janice Marie MC George, O.D.
• Jessica Anne McCarthy, FNP
• Catherine McClelland
• Adam H. B. McDonald, M.A.
• Carolyn Lee McDonald

• All providers in Jackson, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.