Individual provider Active NPI

Matt T Herres, DC

  • Chiropractor
  • Pasco, WA
National Provider Identifier
1609956127
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002819 Issued in WA
Practice address
7007 Burden Blvd Ste 104
Pasco, WA 99301-9185
Phone
(509) 543-1123
Fax
(509) 543-6851
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002819 WA Primary

Addresses

Primary practice location

7007 Burden Blvd Ste 104
Pasco, WA 99301-9185

Mailing address

7007 Burden Blvd Ste 104
Pasco, WA 99301-9185
Phone (509) 543-1123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051020000059 WA Practitioner - Chiropractic 1355367228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7007 Burden Blvd
Suite 104
Pasco, WA 99301-9185
Phone (509) 543-1123

Merit-based Incentive Payment System (MIPS)

Final score
24.84 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00002819WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Herres Chiropractic, LLC Chiropractor CurrentSince Mar 1, 2007 Accepting new patients

Locations

7007 Burden Blvd
Ste 104
Pasco, WA 99301
Phone (509) 543-1123

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1609956127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 BURDEN BLVD STE 104",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019185",
            "telephone_number": "509-543-1123",
            "fax_number": "509-543-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 BURDEN BLVD STE 104",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019185",
            "telephone_number": "509-543-1123",
            "fax_number": "509-543-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRES",
        "first_name": "MATT",
        "middle_name": "T",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.