Active NPI
Matthew Owen Isner, DC
- Chiropractor
- Mineral Wells, WV
National Provider Identifier
1477585537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 868
- Practice address
- 1510 Elizabeth Pike
Mineral Wells, WV 26150-8413 - Phone
- (386) 852-0110
- NPI assigned
- Jul 7, 2006
- Last updated
- Aug 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO08035 | GA | |
| Chiropractor | 111N00000X | 868 | WV | Primary |
Addresses
Primary practice location
1510 Elizabeth Pike
Mineral Wells, WV 26150-8413
Mailing address
1103 Nature View Cir
Port Orange, FL 32128-7454
Phone (386) 788-2596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO08035 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wirt County Health Services Association Inc | Past | Accepting new patients | |
| Franklin E Howerton | Chiropractor | Past | Accepting new patients |
| Isner Chiropractic Clinic, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Chiropractor
- Mineral Wells, WV
- NPI 1134392509
-
- Chiropractor
- Port Orange, FL
- NPI 1871716597
-
dba Ripley Family Medicine
- Federally Qualified Health Center (FQHC)
- Ripley, WV
- NPI 1043401730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185926400000",
"number": "1477585537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 NATURE VIEW CIR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321287454",
"telephone_number": "386-788-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 ELIZABETH PIKE",
"city": "MINERAL WELLS",
"state": "WV",
"postal_code": "261508413",
"telephone_number": "386-852-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISNER",
"first_name": "MATTHEW",
"middle_name": "OWEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO08035",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mineral Wells, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.