Kristin Beratta Mattingly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-29952 Issued in CA

Practice address

3478 Main St
Oakley, CA 94561-3137

Phone

(925) 625-1881

Fax

(925) 625-4769

NPI assigned

Jan 16, 2008

Last updated

Feb 9, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Oakley Chiropractic Kristin Mattingly D.C. CorpGroup PAC ID 5395083620, 2 clinicians

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

• Oakley Chiropractic Kristin Mattingly D.C Corp

  • Chiropractor
  • Oakley, CA
  • NPI 1487118287
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1518143833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945610008",
            "telephone_number": "925-625-1881",
            "fax_number": "925-625-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 MAIN ST",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945613137",
            "telephone_number": "925-625-1881",
            "fax_number": "925-625-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "KRISTIN",
        "middle_name": "BERATTA",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-29952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marsh, M.S., CCC-SLP
• Analicia Kelly Martin, MA, ATC
• Mikaila M Martinez
• Sandra Martinez
• Genis Noelle Matel, RN
• Maureen Ezeigwe, a Nursing Corporation (Aligned Care Behavioral Services)
• Brittany T Mazur, PHD, BCBA-D
• Thomas Medlen, RN
• Mendly Registered Nursing Group, PC
• Andrew Mery, DNP, AGNP-C

• Chiropractor in Oakley, CA
• Providers in Oakley, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.