Matthew Huetter DC PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MATTHEW HUETTER DC PC

Practice address

10510 Old Olive Street Rd
Creve Coeur, MO 63141-5926

Phone

(314) 718-7971

Fax

(314) 991-0205

NPI assigned

May 20, 2024

Organization subpart

Yes

Parent organization

MATTHEW HUETTER DC PCAs reported in NPPES

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

Authorized official

Name

Matthew Thomas Huetter, DCNPI 1396515466

Title

Owner

Phone

(501) 412-6302

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Part of

Matthew Huetter DC PC

Practitioners 1

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

• Matthew Thomas Huetter, CHIROPRACTOR

  • Chiropractor
  • Creve Coeur, MO
  • NPI 1396515466
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1750120838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 OLD OLIVE STREET RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415926",
            "telephone_number": "314-718-7971",
            "fax_number": "314-991-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 OLD OLIVE STREET RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415926",
            "telephone_number": "314-718-7971",
            "fax_number": "314-991-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW HUETTER DC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATTHEW HUETTER DC PC",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "HUETTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-412-6302",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysta Shaye Maskey, FNP
• Sara Emma Massie
• Abigail Mather, MS, NCC, LPC
• Allen E Mathieu, PAC,ATC,MS
• Bradley Steven Matthes, DDS
• Rose Mattli, NP
• Kathy C. Maupin, M.D.
• Rebecca Aku Mawuenyega, RPH
• Vanessa Susan Mays, O.T
• Kevin Scott Mayse, LPC

• Primary Care Clinic/Center in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.