Individual provider Active NPI

Matthew Dale Sarver, DC

  • Chiropractor
  • Albia, IA
National Provider Identifier
1619957511
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05776 Issued in IA
Practice address
909 South Clinton
Albia, IA 52531-2659
Phone
(641) 932-2939
Fax
(641) 932-2106
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05776 IA Primary

Addresses

Primary practice location

909 South Clinton
Albia, IA 52531-2659

Mailing address

909 South Clinton
Albia, IA 52531-2659
Phone (641) 932-2939

Other identifiers 2

IdentifierTypeStateIssuer
16203OtherIABLUE CROSS BLUE SHIELD
0111682MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000820 IA Practitioner - Chiropractic 1254396393 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

909 S Clinton St
Albia, IA 52531-2659
Phone (641) 932-2939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A05776IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sarver Chiropractic Clinic, P.C. Chiropractor CurrentSince Nov 20, 2007 Accepting new patients
Dee Dee Chance Lisw PLLC Past Accepting new patients

Locations

909 S Clinton St
Albia, IA 52531
Phone (641) 799-6528

Organizations & group practices 2

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1619957511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SOUTH CLINTON",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525312659",
            "telephone_number": "641-932-2939",
            "fax_number": "641-932-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SOUTH CLINTON",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525312659",
            "telephone_number": "641-932-2939",
            "fax_number": "641-932-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARVER",
        "first_name": "MATTHEW",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "16203",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111682",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albia, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.