Individual provider Active NPI

Matthew John Betterton, DC

  • Chiropractor
  • Vinton, IA
National Provider Identifier
1629057112
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06409 Issued in IA
Practice address
1307 W 13TH St
Vinton, IA 52349-1400
Phone
(319) 472-5151
Fax
(877) 300-8998
NPI assigned
Jan 12, 2006
Last updated
Mar 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06409 IA Primary

Addresses

Primary practice location

1307 W 13TH St
Vinton, IA 52349-1400

Mailing address

1307 W 13TH St
Vinton, IA 52349-1400
Phone (319) 472-5151

Other identifiers 3

IdentifierTypeStateIssuer
25853OtherIABLUE CROSS BLUE SHIELD
1228155MedicaidIA
DC8557OtherIARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050216000178 IA Practitioner - Chiropractic 4587616909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Betterton Family Chiropractic PCGroup PAC ID 3779535182, 2 clinicians

Practice addresses (Care Compare)

1307 W 13TH St
Vinton, IA 52349-1400
Phone (319) 472-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1629057112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W 13TH ST",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491400",
            "telephone_number": "319-472-5151",
            "fax_number": "877-300-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W 13TH ST",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491400",
            "telephone_number": "319-472-5151",
            "fax_number": "877-300-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTERTON",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "25853",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1228155",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC8557",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.