Individual provider Active NPI

Matthew Burton, DC

  • Chiropractor
  • Saint Joseph, MO
National Provider Identifier
1689286577
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2020014592 Issued in MO
Practice address
3711 Mitchell Ave
Saint Joseph, MO 64507-2247
Phone
(816) 689-0671
NPI assigned
Aug 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2020014592 MO Primary

Addresses

Primary practice location

3711 Mitchell Ave
Saint Joseph, MO 64507-2247

Mailing address

3711 Mitchell Ave
Saint Joseph, MO 64507-2247

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006001934 MO Practitioner - Chiropractic 6406275775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Family Wellness Center LLCGroup PAC ID 1052702149, 4 clinicians

Practice addresses (Care Compare)

6503 N Belt Hwy
Country Club, MO 64506-1048
Phone (816) 689-0671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Family Wellness Center, LLC Chiropractor CurrentSince Jan 1, 2022 Accepting new patients

Locations

6503 N Highway 71
Country Club, MO 64506
Phone (816) 232-0743

3711 Mitchell Ave
Saint Joseph, MO 64507
Phone (816) 689-0671

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1689286577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 MITCHELL AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 MITCHELL AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072247",
            "telephone_number": "816-689-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020014592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.