Matthew S Waxter, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

273157 Issued in OR

Practice address

312 Laurel Ave
Suite 1
Tillamook, OR 97141-2314

Phone

(503) 842-5951

Fax

(503) 842-5104

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

West Coast Chiropractic College, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Tillamook Chiropractic Incorporated

  dba Tillamook Chiropractic Clinic

  • Chiropractor
  • Tillamook, OR
  • NPI 1265504286
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1578635595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 LAUREL AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412314",
            "telephone_number": "503-842-5951",
            "fax_number": "503-842-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 LAUREL AVE",
            "address_2": "SUITE 1",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412314",
            "telephone_number": "503-842-5951",
            "fax_number": "503-842-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXTER",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis S Wagner, DMD
• David Walker, RPH
• Samantha Wall, GC-C, LMSW, CSWA
• Kaylynn Walls, RDH
• Erin L Warbington, RN
• Paul C Welch, M.D.
• Western Health Resources (Adventist Health Home Care Services-Tillamook)
• Western Health Resources
• Michael Whetter
• Tyler Gregory Whygle, CFY-SLP

• Chiropractor in Tillamook, OR
• Providers in Tillamook, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.