Individual provider Active NPI

Raymond F Mathews, D.C

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1629120118
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10395 Issued in TX
Practice address
5421 Matlock Rd
Suite 125
Arlington, TX 76018-1532
Phone
(817) 466-9400
Fax
(817) 466-9487
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10395 TX Primary
Nutrition Chiropractor 111NN1001X 10395 TX

Addresses

Primary practice location

5421 Matlock Rd
Suite 125
Arlington, TX 76018-1532

Mailing address

5421 Matlock Rd
Suite 125
Arlington, TX 76018-1532
Phone (817) 466-9400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150716001699 MO Practitioner - Chiropractic 9436224979 Practice locations: Mexico, MO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3618 S Clark St
Mexico, MO 65265-4104
Phone (573) 581-0381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10395TXMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond Mathews, LLC Chiropractor PastSince May 29, 2014 Accepting new patients
Mathews Family Chiropractic, PLLC Chiropractor Past Accepting new patients
Burle Chiropractic Inc. Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1629120118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 MATLOCK RD",
            "address_2": "SUITE 125",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181532",
            "telephone_number": "817-466-9400",
            "fax_number": "817-466-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 MATLOCK RD",
            "address_2": "SUITE 125",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181532",
            "telephone_number": "817-466-9400",
            "fax_number": "817-466-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "RAYMOND",
        "middle_name": "F",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10395",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "10395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

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