Active NPI
Matthew Booth Mitchell, D.C.
- Chiropractor
- North Wales, PA
National Provider Identifier
1598828741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 008845
- Practice address
- 1364 Welsh Rd
Suite A120
North Wales, PA 19454-1913 - Phone
- (215) 628-2529
- NPI assigned
- Dec 19, 2006
- Last updated
- Aug 27, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 008845 | PA | Primary |
Addresses
Primary practice location
1364 Welsh Rd
Suite A120
North Wales, PA 19454-1913
Mailing address
5045 Yukon Dr
East Stroudsburg, PA 18302-6634
Phone (724) 255-6119
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 825429 | Other | PA | FIRST PRIORITY HEALTH |
| 001464172 | Other | PA | HIGHMARK BLUE CROSS BLUE SHIEL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 008845 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giacalone Healthcare Inc | Chiropractor | Past | Accepting new patients |
| Sala Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
| Bethel Park Medical and Wellness | Past | Accepting new patients | |
| Ramsour Family Chiropractic, PC. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1598828741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5045 YUKON DR",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183026634",
"telephone_number": "724-255-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 WELSH RD",
"address_2": "SUITE A120",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194541913",
"telephone_number": "215-628-2529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "MATTHEW",
"middle_name": "BOOTH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC 008845",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "825429",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE CROSS BLUE SHIEL",
"identifier": "001464172",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Wales, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.