Active NPI
Matthew Kevin Waldron, MATTHEW WALDRON D.C.
- Chiropractor
- Edmonds, WA
National Provider Identifier
1467526277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003315
- Practice address
- 22933 Highway 99
Edmonds, WA 98026-8468 - Phone
- (425) 772-2700
- Fax
- (425) 775-7842
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | CH00003315 | WA | Primary |
Addresses
Primary practice location
22933 Highway 99
Edmonds, WA 98026-8468
Mailing address
23009 56TH Ave W Ste B
Mountlake Terrace, WA 98043-4713
Phone (425) 772-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081028000310 | WA | Practitioner - Chiropractic | 4284792755 | Practice locations: Mountlake Terrace, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
23009 56TH Ave W B
Mountlake Terrace, WA 98043-4713
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Waldron DC | Chiropractor | Current | Accepting new patients |
Locations
23009 56th Ave W
#B
Mountlake Terrace, WA 98043
Phone (425) 248-2174
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.
-
- Chiropractor
- Mountlake Terrace, WA
- NPI 1043726615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1467526277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23009 56TH AVE W STE B",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980434713",
"telephone_number": "425-772-2700",
"fax_number": "425-332-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22933 HIGHWAY 99",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268468",
"telephone_number": "425-772-2700",
"fax_number": "425-775-7842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRON",
"first_name": "MATTHEW",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "MATTHEW WALDRON D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.