Active NPI
Dhan Mathew
- Chiropractor
- Magnolia, TX
National Provider Identifier
1487060968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12644
- Practice address
- 33300 Egypt LN Ste B400
Magnolia, TX 77354-2872 - Phone
- (281) 789-4182
- NPI assigned
- Jul 7, 2014
- 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 | 12644 | TX | Primary |
Addresses
Primary practice location
33300 Egypt LN Ste B400
Magnolia, TX 77354-2872
Mailing address
4218 N Meade Ave
Chicago, IL 60634-1520
Phone (312) 401-3174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151028000062 | TX | Practitioner - Chiropractic | 7315256682 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Patrick W. Martin, P.a.
Practice addresses (Care Compare)
17323 Interstate 35 N
Suite 106
Schertz, TX 78154-1278
Phone (210) 646-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12644 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aj Marshall, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Magnolia, TX
- NPI 1851674105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1487060968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4218 N MEADE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606341520",
"telephone_number": "312-401-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33300 EGYPT LN STE B400",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773542872",
"telephone_number": "281-789-4182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "DHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-07",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magnolia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.