Mattingly Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2003002102 Issued in MO

Legal business name

MATTINGLY CHIROPRACTIC

Practice address

6411 Chippewa St
Saint Louis, MO 63109-2104

Phone

(314) 352-3345

Fax

(314) 352-3460

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Richard Freeland

Title

Production Manager

Phone

(314) 352-3345

Specialties & licenses 1

Addresses

Other names 1

• Dr Dustan J Mattingly Other name

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1578617056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 CHIPPEWA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092104",
            "telephone_number": "314-352-3345",
            "fax_number": "314-352-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 CHIPPEWA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092104",
            "telephone_number": "314-352-3345",
            "fax_number": "314-352-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTINGLY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "FREELAND",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRODUCTION MANAGER",
        "authorized_official_telephone_number": "314-352-3345",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003002102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Dustan J Mattingly",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul Anthony Matthews Sr.
• Sophia Matthews
• Theresia R Matthews
• Monica Monee Matthieu, LCSW, PH.D
• Mattie'S Adhc
• Dustan J. Mattingly, D.C.
• Lauren Drbul Mattingly, PNP
• Maureen Ann Mattingly, M.S., CCC-SLP
• Tori Marie Mattingly, FNP
• Mattis Road Counseling, LLC

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.