Matthew Earl Labertew, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008755 Issued in IL

Practice address

825 New York Dr Ste 1
Vandalia, IL 62471-1044

Phone

(618) 283-2230

Fax

(618) 283-1868

NPI assigned

Jun 27, 2006

Last updated

Dec 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• M-Lab Enterprises,LTD.

  • Chiropractor
  • East Alton, IL
  • NPI 1861681207
  Medicare reassignment NPD Authorized official
• Faccin Chiropractic, PC

  • Chiropractor
  • East Alton, IL
  • NPI 1043368434
  NPD (past)
• J Cox Enterprises LTD

  • Chiropractor
  • Vandalia, IL
  • NPI 1114059227
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1699702589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NEW YORK DR STE 1",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711044",
            "telephone_number": "618-283-2230",
            "fax_number": "618-283-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NEW YORK DR STE 1",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711044",
            "telephone_number": "618-283-2230",
            "fax_number": "618-283-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABERTEW",
        "first_name": "MATTHEW",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7815199",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6025820",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "416040",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038008755",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Jones, MA
• Kaskaskia Medical Center, LTD
• Tanea L Kinkead, M.A., BCBA, LBA
• Alicia Brianne Kniepkamp, RDH
• Nicole Kough
• Rebecca Amelia Lambert, M.S.ED.
• Margie Therese Landrum, CRNA MSN
• Deidre Langston, APN
• Michael Donald Lask, D.M.D.
• Lean on Me Caregiving

• Chiropractor in Vandalia, IL
• Providers in Vandalia, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.