Individual provider Active NPI

Matthew Stephen Thomas, D.C.

  • Chiropractor
  • Thomaston, ME
National Provider Identifier
1568520997
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2404 Issued in ME
Practice address
178 Main St
Thomaston, ME 04861-3811
Phone
(207) 354-5179
NPI assigned
Dec 5, 2006
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 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 CR2404 ME Primary

Addresses

Primary practice location

178 Main St
Thomaston, ME 04861-3811

Mailing address

178 Main St
Thomaston, ME 04861-3811
Phone (207) 354-5179

Other identifiers 2

IdentifierTypeStateIssuer
950C110200OtherMIBCBS
P00320619OtherMIRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170829002012 ME Practitioner - Chiropractic 1254366982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

178 Main St
Thomaston, ME 04861-3811
Phone (207) 354-5179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
823NDMDOccupational Therapy Assistant
4337WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Mountain Chiropractic PC Chiropractor CurrentSince Mar 16, 2021 Accepting new patients
Superior Family Chiropractic PLLC Chiropractor PastSince Apr 17, 2002 Accepting new patients
Simply Chiropractic, LLC Chiropractor PastSince Jan 1, 2006 Accepting new patients
Horizon Family Chiropractic PC Chiropractor Past Accepting new patients
Samson Family Chiropractic & Wellness PC Chiropractor Past Accepting new patients
Lake Superior Chiropractic PLLC Chiropractor PastSince Apr 6, 2026 Accepting new patients

Locations

178 Main St
Thomaston, ME 04861
Phone (207) 354-5179

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1568520997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 MAIN ST",
            "city": "THOMASTON",
            "state": "ME",
            "postal_code": "048613811",
            "telephone_number": "207-354-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 MAIN ST",
            "city": "THOMASTON",
            "state": "ME",
            "postal_code": "048613811",
            "telephone_number": "207-354-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MATTHEW",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950C110200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00320619",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.