Dustan J. Mattingly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2003002102 Issued in MO

Practice address

8430 Watson Rd
Saint Louis, MO 63119-5217

Phone

(314) 635-1008

Fax

(314) 635-1013

NPI assigned

Dec 4, 2007

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 MO

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Wellness Solutions LLC

  • Chiropractor
  • Saint Louis, MO
  • NPI 1962115790
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1508048257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195217",
            "telephone_number": "314-635-1008",
            "fax_number": "314-635-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195217",
            "telephone_number": "314-635-1008",
            "fax_number": "314-635-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "DUSTAN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003002102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508048257",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Matthews
• Theresia R Matthews
• Monica Monee Matthieu, LCSW, PH.D
• Mattie'S Adhc
• Mattingly Chiropractic
• Lauren Drbul Mattingly, PNP
• Maureen Ann Mattingly, M.S., CCC-SLP
• Tori Marie Mattingly, FNP
• Mattis Road Counseling, LLC
• Mattis Road Surgery Center LLC

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.