Wyandot Chiropractic & Fitness Inc.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1102 Issued in OH

Legal business name

WYANDOT CHIROPRACTIC & FITNESS INC.

Doing business as

Dr. Matthew E Thiel

Practice address

109 Houpt Dr
Upper Sandusky, OH 43351-9201

Phone

(419) 294-3489

Fax

(419) 294-2791

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Eugene Thiel, DCNPI 1821004052

Title

Doctor of Chiropractic

Phone

(419) 294-3489

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Dr. Matthew E Thiel Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Eugene Thiel, D.C.

  • Chiropractor
  • Upper Sandusky, OH
  • NPI 1821004052
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1689820946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HOUPT DR",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433519201",
            "telephone_number": "419-294-3489",
            "fax_number": "419-294-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HOUPT DR",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433519201",
            "telephone_number": "419-294-3489",
            "fax_number": "419-294-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOT CHIROPRACTIC & FITNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "THIEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "419-294-3489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "1102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000121332",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID (INDIVIDUAL)",
            "identifier": "2795088",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "1821004052",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "273645910002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID (GROUP)",
            "identifier": "2882911",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD AETNA",
            "identifier": "5840453",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Matthew E Thiel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Ann Weaver, RPH
• Jessica Ann Weir, MOT,OTR/L
• Wellness Counseling Solutions, LLC
• Wellness Counseling Solutions, LLC
• Nathaniel Wilhelm, DDS
• Wyandot County Board of DD
• Wyandot County Council on Aging, Inc.
• Wyandot County Office of Auditor
• Wyandot County Office of Auditor
• Wyandot County Office of Auditor

• Sports Physician Chiropractor in Upper Sandusky, OH
• Providers in Upper Sandusky, OH by specialty
• Sports Physician Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.