Organization Active NPI

Centre Chiropractic PC

  • Chiropractor
  • Boalsburg, PA
National Provider Identifier
1386962025
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009586 Issued in PA
Legal business name
CENTRE CHIROPRACTIC PC
Practice address
209 E Main St
Boalsburg, PA 16827-1424
Phone
(814) 466-2000
Fax
(814) 466-2228
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Dr. Matthew Dean Hertert, D.C.NPI 1043253503
Title
Owner
Phone
(814) 466-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC009586 PA Primary

Addresses

Primary practice location

209 E Main St
Boalsburg, PA 16827-1424

Mailing address

209 E Main St
P.O. Box 680
Boalsburg, PA 16827-1424
Phone (814) 466-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110124000734 PA Part B Supplier - Clinic/Group Practice 3971782905 Receives reassigned benefits from 1 practitioner
Practice locations: Boalsburg, PA

National Provider Directory

National Provider Directory

Locations

203 E Main St
Boalsburg, PA 16827
Phone (814) 466-2000

209 E Main St
Boalsburg, PA 16827
Phone (717) 858-4406

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1386962025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E MAIN ST",
            "address_2": "P.O. BOX 680",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271424",
            "telephone_number": "814-466-2000",
            "fax_number": "717-447-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E MAIN ST",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271424",
            "telephone_number": "814-466-2000",
            "fax_number": "814-466-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "HERTERT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-466-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boalsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.