Individual provider Active NPI

Heath Michael Matherne, D.C.

  • Chiropractor
  • Raceland, LA
National Provider Identifier
1477638047
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1285 Issued in LA
Practice address
4777 Highway 1
Raceland, LA 70394-2626
Phone
(985) 537-5512
Fax
(985) 537-5514
NPI assigned
Oct 25, 2006
Last updated
Jun 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1285 LA Primary

Addresses

Primary practice location

4777 Highway 1
Raceland, LA 70394-2626

Mailing address

PO Box 117
Lockport, LA 70374-0117
Phone (985) 532-6800

Other identifiers 2

IdentifierTypeStateIssuer
7388456OtherLAAETNA
1151874MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070723000136 LA Practitioner - Chiropractic 3577664457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matherne Chiropractic LLCGroup PAC ID 7214293646, 2 clinicians

Practice addresses (Care Compare)

4777 Hwy 1
Raceland, LA 70394-2626
Phone (985) 537-5512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1285LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Matherne Chiropractic, LLC Chiropractor CurrentSince Dec 1, 2017 Accepting new patients

Locations

4777 Highway 1
Raceland, LA 70394
Phone (985) 537-5512

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1477638047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "LOCKPORT",
            "state": "LA",
            "postal_code": "703740117",
            "telephone_number": "985-532-6800",
            "fax_number": "985-532-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942626",
            "telephone_number": "985-537-5512",
            "fax_number": "985-537-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHERNE",
        "first_name": "HEATH",
        "middle_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7388456",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1151874",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raceland, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.