Active NPI
Matthew Milonas, D.C.
- Chiropractor
- Brentwood, TN
National Provider Identifier
1477597268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-009376
- Practice address
- 104 Eastpark Dr Ste 102
Brentwood, TN 37027-7535 - Phone
- (931) 206-8631
- Fax
- (630) 428-2293
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 3455 | TN | |
| Chiropractor | 111N00000X | 038-009376 | IL | Primary |
Addresses
Primary practice location
104 Eastpark Dr Ste 102
Brentwood, TN 37027-7535
Mailing address
1603 N Aurora Rd
Suite 101
Naperville, IL 60563-1869
Phone (630) 428-0768
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002230196 | Other | IL | BCBS IL |
| P00082960 | Other | IL | RAILROAD MEDICARE |
| 3455 | Other | TN | LICENSE |
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 |
|---|---|---|---|
| 038-009376 | IL | MD | Chiropractor |
| 3455 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gergovich Family Chiropractic, LLC. | Chiropractor | Past | Accepting new patients |
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
- La Salle, IL
- NPI 1619267135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1477597268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 N AURORA RD",
"address_2": "SUITE 101",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605631869",
"telephone_number": "630-428-0768",
"fax_number": "630-428-2293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 EASTPARK DR STE 102",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277535",
"telephone_number": "931-206-8631",
"fax_number": "630-428-2293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILONAS",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2023-03-29",
"certification_date": "2023-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "3455",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-009376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL",
"identifier": "0002230196",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00082960",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "3455",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.