Individual provider Active NPI

Matthew S Hitchner, DC

  • Chiropractor
  • Tuscaloosa, AL
National Provider Identifier
1700875853
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1341 Issued in AL
Practice address
523 Queen City Ave
Tuscaloosa, AL 35401-1513
Phone
(205) 248-7656
Fax
(205) 248-7768
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1341 AL Primary

Addresses

Primary practice location

523 Queen City Ave
Tuscaloosa, AL 35401-1513

Mailing address

523 Queen City Ave
Tuscaloosa, AL 35401-1513
Phone (205) 248-7656

Other identifiers 1

IdentifierTypeStateIssuer
1341OtherALST BD OF CHIRO LIC NO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070213000519 AL Practitioner - Chiropractic 6103828603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

523 Queen City Ave
Tuscaloosa, AL 35401-1513
Phone (205) 248-7656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic & Health Center, LLC Chiropractor PastSince Oct 7, 2012 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1700875853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 QUEEN CITY AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011513",
            "telephone_number": "205-248-7656",
            "fax_number": "205-248-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 QUEEN CITY AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011513",
            "telephone_number": "205-248-7656",
            "fax_number": "205-248-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITCHNER",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST BD OF CHIRO LIC NO",
            "identifier": "1341",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.