Dana Lee Mathis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

211 S Perrine Ave
Centralia, IL 62801-3635

Phone

(618) 533-2225

NPI assigned

Jan 4, 2007

Last updated

Dec 4, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Backroad Health Care Inc

  • Family Nurse Practitioner
  • Centralia, IL
  • NPI 1134582018
  NPD (past)
• Critter Chiropractic Inc.

  dba Simply Chiropractic Inc.

  • Chiropractor
  • Centralia, IL
  • NPI 1821234154
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1619024650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S PERRINE AVE",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013635",
            "telephone_number": "618-533-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S PERRINE AVE",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013635",
            "telephone_number": "618-533-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "DANA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald D Lyons, LCSW
• Gibran Hamid Mahmud, M.D.
• Marion Eye Centers LTD.
• Dawn Martinez-Uribe
• Nicole Danielle Masaracchia
• Robin Lynn Matthews, CADC
• Destin Lloyd Mays, LCSW, ACSW
• Jennifer Michelle Mazanek
• Carol Lynn McCrary
• Bettina McCulloch, MSW

• Chiropractor in Centralia, IL
• Providers in Centralia, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.