Dustin Philip Mattila, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009748 Issued in MI

Practice address

1455 North Michigan Avenue
Suite 700
Howell, MI 48843-3103

Phone

(517) 552-8500

Fax

(517) 552-8594

NPI assigned

Dec 1, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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 and National Provider Directory roles.

• Prospine and Sports P.C.

  • Chiropractor
  • Farmington, MI
  • NPI 1700223435
  Medicare reassignment NPD Authorized official
• Crest Chiropractic PLLC

  • Chiropractor
  • Orem, UT
  • NPI 1932085107
  NPD Authorized official
• Zweng Family Practice Chiropractic PC

  • Chiropractor
  • Howell, MI
  • NPI 1992740609
  NPD (past)
• Northwest Spine and Pain Center of St. Michael, PA

  • Chiropractor
  • Saint Michael, MN
  • NPI 1609995877
  NPD (past)

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1578891693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 NORTH MICHIGAN AVENUE",
            "address_2": "SUITE 700",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488433103",
            "telephone_number": "517-552-8500",
            "fax_number": "517-552-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 NORTH MICHIGAN AVENUE",
            "address_2": "SUITE 700",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488433103",
            "telephone_number": "517-552-8500",
            "fax_number": "517-552-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTILA",
        "first_name": "DUSTIN",
        "middle_name": "PHILIP",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-01",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5293",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Charles Mason, D.C.
• Gwen Alani Mastenbrook
• Emily Matlock
• Viken Raffi Matossian, M.D.
• Steven Joseph Matschikowski, R.PH.
• Mary Aune Maule
• Sterling Ryan Maxfield, PA-C
• Daniel Martin Mayman, M.D.
• Colleen Mayros, RPH
• Katheryn Noreen Mazzara, C.P.M.

• Chiropractor in Howell, MI
• Providers in Howell, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.