Active NPI
Jeffrey John Mattar, D.C.
- Chiropractor
- Clinton Township, MI
National Provider Identifier
1659301919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301004691
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1663741 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2301004691 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandon R McKenzie DC PLLC | Chiropractor | Current | Accepting new patients |
| Mattar Chiropractic Clinic | Chiropractor | Past | 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.
-
- Chiropractor
- Clinton TWP, MI
- NPI 1568870103
-
- Chiropractor
- Clinton TWP, MI
- NPI 1912729179
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.