Individual provider Active NPI

Matthew Joseph Haumesser, DC

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1710963848
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3063 Issued in OH
Practice address
684 Old State Route 74
Cincinnati, OH 45245
Phone
(513) 528-2200
Fax
(513) 528-7991
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3063 OH Primary

Addresses

Primary practice location

684 Old State Route 74
Cincinnati, OH 45245

Mailing address

684 Old State Route 74
Cincinnati, OH 45245
Phone (513) 528-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402000803 OH Practitioner - Chiropractic 1759373152 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

684 Cincinnati Batavia Pike
Cincinnati, OH 45245-1027
Phone (513) 528-2200

684 Old St RT
Suite 74
Cincinnati, OH 45245-1027

684 Old State Route 74
Cincinnati, OH 45245-1027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3063OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Haumesser Chiropractic & Massage LTD. Chiropractor Current Accepting new patients
Amelia Chiropractic Center Inc Past Accepting new patients

Locations

684 Old State Route 74
Cincinnati, OH 45245
Phone (513) 528-2200

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1710963848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 OLD STATE ROUTE 74",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45245",
            "telephone_number": "513-528-2200",
            "fax_number": "513-528-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 OLD STATE ROUTE 74",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45245",
            "telephone_number": "513-528-2200",
            "fax_number": "513-528-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUMESSER",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.