Individual provider Active NPI

Emileah Van Matre, D.C.

  • Chiropractor
  • Avon, IN
National Provider Identifier
1538636725
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003048A Issued in IN
Practice address
7651 E US Highway 36
Avon, IN 46123-7972
Phone
(317) 272-7988
Fax
(317) 272-7918
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003048A IN Primary

Addresses

Primary practice location

7651 E US Highway 36
Avon, IN 46123-7972

Mailing address

6351 Birds Eye Dr
Indianapolis, IN 46203-6171
Phone (574) 870-1375

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181214002095 IN Practitioner - Chiropractic 8527303874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

105 E Broadway St
Monticello, IN 47960-2109
Phone (812) 200-6204

Hospital & facility affiliations

  • Indiana University Health White Memorial Hospital Hospital, Monticello, IN, CCN 151312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Family Chiropractic Chiropractor CurrentSince Feb 26, 2020 Accepting new patients

Locations

105 E Broadway St
Monticello, IN 47960
Phone (812) 200-6204

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1538636725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6351 BIRDS EYE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462036171",
            "telephone_number": "574-870-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237972",
            "telephone_number": "317-272-7988",
            "fax_number": "317-272-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN MATRE",
        "first_name": "EMILEAH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003048A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.