Active NPI
Henry Carl Matthes IV, DC
- Chiropractor
- North Baltimore, OH
National Provider Identifier
1407685357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-05371
- Practice address
- 311 N Main St
North Baltimore, OH 45872-1136 - Phone
- (419) 601-5103
- NPI assigned
- Jul 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-05371 | OH | Primary |
Addresses
Primary practice location
311 N Main St
North Baltimore, OH 45872-1136
Mailing address
1053 Wingston Rd
North Baltimore, OH 45872-9454
Phone (419) 601-5103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241120004083 | OH | Practitioner - Chiropractic | 5193250603 |
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": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1407685357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 WINGSTON RD",
"city": "NORTH BALTIMORE",
"state": "OH",
"postal_code": "458729454",
"telephone_number": "419-601-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N MAIN ST",
"city": "NORTH BALTIMORE",
"state": "OH",
"postal_code": "458721136",
"telephone_number": "419-601-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHES",
"first_name": "HENRY",
"middle_name": "CARL",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-30",
"last_updated": "2024-09-05",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "DC-05371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Baltimore, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.