Matthew G Shull, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05778 Issued in IA

Practice address

811 E Washington St
Mount Pleasant, IA 52641-1962

Phone

(319) 385-7320

Fax

(319) 385-7322

NPI assigned

Nov 27, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Shull Chiropractic Center

  • Chiropractor
  • Mount Pleasant, IA
  • NPI 1285814418
  NPD (past) Authorized official

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1548442056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E WASHINGTON ST",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526411962",
            "telephone_number": "319-385-7320",
            "fax_number": "319-385-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E WASHINGTON ST",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526411962",
            "telephone_number": "319-385-7320",
            "fax_number": "319-385-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULL",
        "first_name": "MATTHEW",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "15055",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108050",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seymour Foot & Ankle Center, PC
• Kimberly Kay Shelangoski
• Colin Shepherd, D.C.
• Adam G Shroyer, DDS
• Shull Chiropractic Center
• Jeffery Edward Sitar, D.D.S.
• Djonggi W Situmeang, MD
• Robert W Smith, M.D.
• Trina Jenae Smith, ARNP
• Ashley Snyder

• Chiropractor in Mount Pleasant, IA
• Providers in Mount Pleasant, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.