Individual provider Active NPI

Thomas C Mattheson, D.C.

  • Chiropractor
  • Dover, NH
National Provider Identifier
1417257353
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
876 Issued in NH
Practice address
812 Central Ave
Dover, NH 03820-2520
Phone
(603) 742-5881
Fax
(603) 742-6613
NPI assigned
Oct 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 876 NH Primary

Addresses

Primary practice location

812 Central Ave
Dover, NH 03820-2520

Mailing address

812 Central Ave
Dover, NH 03820-2520
Phone (603) 742-5881

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121119000368 NH Practitioner - Chiropractic 4587815634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

812 Central Ave
Dover, NH 03820-2520
Phone (603) 742-5881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
876NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mattheson Chiropractic and Physical Therapy Center PLLC Chiropractor CurrentSince Nov 27, 2018 Accepting new patients

Locations

812 Central Ave
Dover, NH 03820
Phone (603) 742-5881

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": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1417257353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202520",
            "telephone_number": "603-742-5881",
            "fax_number": "603-742-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202520",
            "telephone_number": "603-742-5881",
            "fax_number": "603-742-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHESON",
        "first_name": "THOMAS",
        "middle_name": "C",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.