Christopher E Matt, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2339 Issued in WI

Practice address

1307 W Packard Street
Tri Corner Chiropractic LLC
Appleton, WI 54914-3428

Phone

(920) 739-4229

NPI assigned

Aug 30, 2006

Last updated

Nov 19, 2012By the provider in NPPES

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 WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Tri Corner Chiropractic LLC

  • Chiropractor
  • Appleton, WI
  • NPI 1164589271
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1548370265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W PACKARD STREET",
            "address_2": "TRI CORNER CHIROPRACTIC LLC",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143428",
            "telephone_number": "920-739-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W PACKARD STREET",
            "address_2": "TRI CORNER CHIROPRACTIC LLC",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143428",
            "telephone_number": "920-739-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATT",
        "first_name": "CHRISTOPHER",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38837600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John George Masak, D.D.S.
• Holly Mason, MSW, LCSW
• Karrie Elizabeth Matejka, MS, CCC-SLP
• Nancy Matelski
• Jane S Mathen, DDS
• Ashley A Mattek, LPC
• Kevin M. Matthews, CCC-SLP
• Greg E. Matz, P.T.
• Kammye Mareen Matz, PT, CLT-LANA
• Bryton Maupin

• Chiropractor in Appleton, WI
• Providers in Appleton, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.