Organization Active NPI

Mattes Family & Sports Chiropractic PC

  • Sports Physician Chiropractor
  • Newton, IA
National Provider Identifier
1518154301
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
A06227 Issued in IA
Legal business name
MATTES FAMILY & SPORTS CHIROPRACTIC PC
Practice address
119 1St Ave W
Newton, IA 50208-3721
Phone
(641) 787-0311
Fax
(641) 792-6396
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Dr. Steven James Mattes, D.C.NPI 1982681375
Title
Doctor
Phone
(641) 787-0311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X A06227 IA Primary

Addresses

Primary practice location

119 1St Ave W
Newton, IA 50208-3721

Mailing address

119 1St Ave W
Newton, IA 50208-3721
Phone (641) 787-0311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041214000320 IA Part B Supplier - Clinic/Group Practice 4789641515 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, IA

National Provider Directory

National Provider Directory

Locations

119 1st Ave W
Newton, IA 50208
Phone (641) 787-0311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1518154301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 1ST AVE W",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083721",
            "telephone_number": "641-787-0311",
            "fax_number": "641-792-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 1ST AVE W",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083721",
            "telephone_number": "641-787-0311",
            "fax_number": "641-792-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTES FAMILY & SPORTS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "MATTES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "641-787-0311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "A06227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.