Individual provider Active NPI

Matthew Elliott Alix, D.C.

  • Chiropractor
  • Dublin, OH
National Provider Identifier
1679552061
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2886 Issued in OH
Practice address
6880 Perimeter Dr Ste a
Dublin, OH 43016-2521
Phone
(614) 791-0077
Fax
(614) 791-0011
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 2886 OH
Chiropractor 111N00000X 2886 OH Primary

Addresses

Primary practice location

6880 Perimeter Dr Ste a
Dublin, OH 43016-2521

Mailing address

6880 Perimeter Dr Ste a
Dublin, OH 43016-2521
Phone (614) 791-0077

Other identifiers 1

IdentifierTypeStateIssuer
2146225MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615000518 OH Practitioner - Chiropractic 1456334242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alix Chiropractic and Rehab CenterGroup PAC ID 7315920105, 4 clinicians

Practice addresses (Care Compare)

6880 Perimeter Dr
Suite a
Dublin, OH 43016-2521
Phone (614) 791-0077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2886OHMDSports Physician Chiropractor

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679552061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6880 PERIMETER DR STE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430162521",
            "telephone_number": "614-791-0077",
            "fax_number": "614-791-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6880 PERIMETER DR STE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430162521",
            "telephone_number": "614-791-0077",
            "fax_number": "614-791-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIX",
        "first_name": "MATTHEW",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "2886",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2146225",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.