Individual provider Active NPI

Matthew Scott Hart, D.C.

  • Chiropractor
  • Geneva, IL
National Provider Identifier
1528082823
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009360 Issued in IL
Practice address
2172 Blackberry Dr
Suite 102
Geneva, IL 60134-1102
Phone
(630) 262-1421
Fax
(630) 262-1401
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009360 IL Primary

Addresses

Primary practice location

2172 Blackberry Dr
Suite 102
Geneva, IL 60134-1102

Mailing address

2172 Blackberry Dr
Suite 102
Geneva, IL 60134-1102
Phone (630) 262-1421

Other identifiers 1

IdentifierTypeStateIssuer
350051731OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080129000187 IL Practitioner - Chiropractic 1355423450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1803 W State St
Suite 150
Geneva, IL 60134-3692
Phone (630) 262-1421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009360ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hart Chiropractic Center Chiropractor CurrentSince Aug 15, 2001 Accepting new patients

Locations

1803 W State St
#150
Geneva, IL 60134
Phone (630) 262-1421

410 E State St
Ste A
Geneva, IL 60134
Phone (331) 248-0284

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1528082823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 BLACKBERRY DR",
            "address_2": "SUITE 102",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341102",
            "telephone_number": "630-262-1421",
            "fax_number": "630-262-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 BLACKBERRY DR",
            "address_2": "SUITE 102",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341102",
            "telephone_number": "630-262-1421",
            "fax_number": "630-262-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350051731",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.

Verify at the official NPI Registry.