Corey Matthews, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-802 Issued in ID

Practice address

403 S 11TH St
Suite #110
Boise, ID 83702-6968

Phone

(208) 343-6900

Fax

(208) 343-0642

NPI assigned

Sep 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Idaho Chiropractic Group, PLLCGroup PAC ID 6305942764, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Idaho Chiropractic Group, PLLC

  • Chiropractor
  • Boise, ID
  • NPI 1639280712
  Medicare reassignment Care Compare group NPD
• Klena Chiropractic Clinic

  dba Klena & Associates P A

  • Chiropractor
  • Boise, ID
  • NPI 1184772865
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407958473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7442",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837071442",
            "telephone_number": "208-343-6900",
            "fax_number": "208-343-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S 11TH ST",
            "address_2": "SUITE #110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026968",
            "telephone_number": "208-343-6900",
            "fax_number": "208-343-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "COREY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010006850",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C1542",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew S. Murphy (House of Hearing Audiology Clinic)
• Matthew Tuft Dental LLC (Copperstone Dental)
• Indu Liz Matthew, M.D.
• Brittany Matthews, FNP-BC
• Casey Matthews
• Heather Matthews, LPC
• Sheila Matthews, PHD
• Tori Brianne Matthies, LMSW
• Cody Mattingly
• Dina Lin Mattingly

• Chiropractor in Boise, ID
• Providers in Boise, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.