Organization Active NPI

Matthew Ashkettle, D.C.,LLC

  • Chiropractor
  • Dayton, OH
National Provider Identifier
1407060148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3257 Issued in OH
Legal business name
MATTHEW ASHKETTLE, D.C.,LLC
Practice address
4325 Air Way Rd.
Dayton, OH 45431
Phone
(614) 901-9695
Fax
(614) 901-9720
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew P. Ashkettle, DC
Title
Owner
Phone
(614) 901-9695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3257 OH Primary

Addresses

Primary practice location

4325 Air Way Rd.
Dayton, OH 45431

Mailing address

4325 Air Way Rd.
Dayton, OH 45431
Phone (614) 901-9695

Other identifiers 1

IdentifierTypeStateIssuer
2365784MedicaidOH

Other names 1

  • East Side Chiropractic Injury and Treament Center Doing business as

National Provider Directory

National Provider Directory

Locations

4325 Airway Rd
Dayton, OH 45431
Phone (937) 256-4951

Practitioners & affiliated clinicians

Practitioners 3

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407060148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 AIR WAY RD.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45431",
            "telephone_number": "614-901-9695",
            "fax_number": "614-901-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 AIR WAY RD.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45431",
            "telephone_number": "614-901-9695",
            "fax_number": "614-901-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW ASHKETTLE, D.C.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASHKETTLE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-901-9695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2365784",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Side Chiropractic Injury and Treament Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.