Individual provider Active NPI

Matthew Daniel McCann, D.C.

  • Chiropractor
  • Marysville, WA
National Provider Identifier
1467478131
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034346 Issued in WA
Practice address
11605 State Ave
Suite 111
Marysville, WA 98271-8427
Phone
(360) 657-7183
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034346 WA Primary

Addresses

Primary practice location

11605 State Ave
Suite 111
Marysville, WA 98271-8427

Mailing address

5323 95TH PL NE
Marysville, WA 98270-5218
Phone (360) 657-7183

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041201000804 WA Practitioner - Chiropractic 3375508369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11605 State Ave
Suite 111
Marysville, WA 98271-8427
Phone (360) 657-7183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034346WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McCann Family Chiropractic PLLC Chiropractor CurrentSince Sep 5, 2006 Accepting new patients
Dech Chiropractor PastSince Apr 23, 2023 Accepting new patients
SCR PS Chiropractor PastSince Nov 8, 2004 Accepting new patients

Locations

11605 State Ave
Ste 111
Marysville, WA 98271
Phone (360) 657-7183

Organizations & group practices 3

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467478131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 95TH PL NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705218",
            "telephone_number": "360-657-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 STATE AVE",
            "address_2": "SUITE 111",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718427",
            "telephone_number": "360-657-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "MATTHEW",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.