Barry Matthisen, D.C

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

228 Issued in AK

Practice address

1000 E Dimond Blvd Ste 202
Anchorage, AK 99515-2029

Phone

(907) 349-4212

Fax

(907) 344-3381

NPI assigned

May 18, 2007

Last updated

May 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Corporate Chiropractic, Inc.

  dba Alaska Back Care Center

  • Chiropractor
  • Anchorage, AK
  • NPI 1740525849
  Medicare reassignment NPD Authorized official
• Motion Imaging

  • Radiology Clinic/Center
  • Anchorage, AK
  • NPI 1275304933
  NPD Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1487862868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E DIMOND BLVD STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152008",
            "telephone_number": "907-349-4212",
            "fax_number": "907-344-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DIMOND BLVD STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152029",
            "telephone_number": "907-349-4212",
            "fax_number": "907-344-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHISEN",
        "first_name": "BARRY",
        "name_prefix": "Mr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AK",
            "license": "228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1228",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Matthews, DPT
• Leanna Matthews, RDN, CNSC
• Marika Antionette Matthews
• Samantha Nicole Matthews
• Taylar Matthews
• Bryan Matthisen, DC
• Mary Ann Mattingly, MS LPC
• Joe Mattison, LPC
• Kelly Mattson
• Ruth Ann Mattson, LPN

• Rehabilitation Chiropractor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Rehabilitation Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.