Individual provider Active NPI

Matthew Clayton Mayo, D.C.

  • Chiropractor
  • Rochester, MN
National Provider Identifier
1740379908
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3295 Issued in MN
Practice address
5231 E Frontage Hwy 52 Rd NW
Suite 201 & 202
Rochester, MN 55901-4156
Phone
(507) 280-6186
Fax
(507) 280-7682
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3295 MN Primary

Addresses

Primary practice location

5231 E Frontage Hwy 52 Rd NW
Suite 201 & 202
Rochester, MN 55901-4156

Mailing address

5231 E Frontage Hwy 52 Rd NW
Suite 201 & 202
Rochester, MN 55901-4156
Phone (507) 280-6186

Other identifiers 2

IdentifierTypeStateIssuer
471213700MedicaidMN
01B79MAOtherMNBCBS OF MN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051208000921 MN Practitioner - Chiropractic 0547281222 Practice locations: Rochester, MN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 14TH Nest
Rochester, MN 55906-7058
Phone (507) 289-5669

111 14TH St NE E
Rochester, MN 55906-7058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3295MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maday Chiropractic LLC Chiropractor PastSince Jan 1, 2009 Accepting new patients
Back to Health Chiropractic Clinic, PA Chiropractor PastSince Dec 29, 2004 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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740379908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 E FRONTAGE HWY 52 RD NW",
            "address_2": "SUITE 201 & 202",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014156",
            "telephone_number": "507-280-6186",
            "fax_number": "507-280-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 E FRONTAGE HWY 52 RD NW",
            "address_2": "SUITE 201 & 202",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014156",
            "telephone_number": "507-280-6186",
            "fax_number": "507-280-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "MATTHEW",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "471213700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "01B79MA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.