Individual provider Active NPI

Matthew Ernest Hasty, D.C.

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1386899540
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5152 Issued in MN
Practice address
563 Bielenberg Dr
Suite 145
Woodbury, MN 55125-4425
Phone
(651) 731-4464
Fax
(651) 379-5113
NPI assigned
Dec 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC5152 MN Primary

Addresses

Primary practice location

563 Bielenberg Dr
Suite 145
Woodbury, MN 55125-4425

Mailing address

563 Bielenberg Dr
Suite 145
Woodbury, MN 55125-4425
Phone (651) 731-4464

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC5152MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Drews Family Chiropractic Inc. Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1386899540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 BIELENBERG DR",
            "address_2": "SUITE 145",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254425",
            "telephone_number": "651-731-4464",
            "fax_number": "651-379-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 BIELENBERG DR",
            "address_2": "SUITE 145",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254425",
            "telephone_number": "651-731-4464",
            "fax_number": "651-379-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTY",
        "first_name": "MATTHEW",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "DC5152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.