Individual provider Active NPI

Matthew Gerard Fink, D.C.

  • Chiropractor
  • Saint Charles, MO
National Provider Identifier
1760662787
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2004008721 Issued in MO
Practice address
5359 Highway N
Suite 103
Saint Charles, MO 63304-7792
Phone
(636) 922-0777
Fax
(636) 922-0833
NPI assigned
Nov 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2004008721 MO Primary

Addresses

Primary practice location

5359 Highway N
Suite 103
Saint Charles, MO 63304-7792

Mailing address

5359 Highway N
Suite 103
Saint Charles, MO 63304-7792
Phone (636) 922-0777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000055 MO Practitioner - Chiropractic 1052365426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walton CS-IX IncGroup PAC ID 4688773617, 5 clinicians

Practice addresses (Care Compare)

1755 Stump Rd
Dardenne Prairie, MO 63368-6716
Phone (636) 922-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Walton CS-IX Inc Chiropractor CurrentSince Apr 24, 2024 Accepting new patients

Locations

1755 Stump Rd
O Fallon, MO 63368
Phone (636) 922-0777

5055 Highway N
Saint Charles, MO 63304
Phone (636) 922-0777

5359 Highway N
Ste 103
Saint Charles, MO 63304
Phone (636) 922-0777

Organizations & group practices 1

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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1760662787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5359 HIGHWAY N",
            "address_2": "SUITE 103",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633047792",
            "telephone_number": "636-922-0777",
            "fax_number": "636-922-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5359 HIGHWAY N",
            "address_2": "SUITE 103",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633047792",
            "telephone_number": "636-922-0777",
            "fax_number": "636-922-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "MATTHEW",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004008721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.