Individual provider Active NPI

Linda M Matz, D.C.

  • Chiropractor
  • Missoula, MT
National Provider Identifier
1659402469
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
730 Issued in MT
Practice address
3700 S Russell St Ste 115
Missoula, MT 59801-8579
Phone
(406) 203-5180
Fax
(406) 203-5178
NPI assigned
Mar 7, 2007
Last updated
Aug 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 730 MT Primary

Addresses

Primary practice location

3700 S Russell St Ste 115
Missoula, MT 59801-8579

Mailing address

3700 S Russell St Ste 115
Missoula, MT 59801-8579
Phone (406) 203-5180

Other identifiers 1

IdentifierTypeStateIssuer
40771OtherMTBLUE CROSS PROVIDER NUMBE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520000958 MT Practitioner - Chiropractic 4486645207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Linda Matz PCGroup PAC ID 1254759731, 2 clinicians

Practice addresses (Care Compare)

3700 S Russell St
Suite 115
Missoula, MT 59801-8579
Phone (406) 203-5180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
730MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Matz, P.C. Chiropractor CurrentSince Aug 6, 2020 Accepting new patients

Locations

3700 S Russell St
Ste 115
Missoula, MT 59801
Phone (406) 203-5180

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, 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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1659402469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 S RUSSELL ST STE 115",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018579",
            "telephone_number": "406-203-5180",
            "fax_number": "406-203-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S RUSSELL ST STE 115",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018579",
            "telephone_number": "406-203-5180",
            "fax_number": "406-203-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZ",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "40771",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.