Individual provider Active NPI

Jeffrey John Mattar, D.C.

  • Chiropractor
  • Clinton Township, MI
National Provider Identifier
1659301919
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004691 Issued in MI
Practice address
39949 Garfield Rd
Suite B
Clinton Township, MI 48038-4301
Phone
(586) 286-1112
Fax
(586) 412-3673
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004691 MI Primary

Addresses

Primary practice location

39949 Garfield Rd
Suite B
Clinton Township, MI 48038-4301

Mailing address

39949 Garfield Rd Ste B
Clinton Township, MI 48038-4301
Phone (586) 286-1112

Other identifiers 1

IdentifierTypeStateIssuer
1663741MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091208000091 MI Practitioner - Chiropractic 0143369975 Practice locations: Clinton Township, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39949 Garfield Rd
Suite B
Clinton Township, MI 48038-4301
Phone (586) 286-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301004691MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon R McKenzie DC PLLC Chiropractor CurrentSince Sep 21, 2025 Accepting new patients
Mattar Chiropractic Clinic Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

39949 Garfield Rd
Ste B
Clinton Twp, MI 48038
Phone (586) 286-1112

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1659301919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39949 GARFIELD RD STE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384301",
            "telephone_number": "586-286-1112",
            "fax_number": "586-412-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39949 GARFIELD RD",
            "address_2": "SUITE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384301",
            "telephone_number": "586-286-1112",
            "fax_number": "586-412-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTAR",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1663741",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.