Individual provider Active NPI

Mathew John Kachel, DC

  • Chiropractor
  • Evansville, IN
National Provider Identifier
1770011629
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002969A Issued in IN
Practice address
125 N Weinbach Ave
Evansville, IN 47711-6091
Phone
(812) 470-5640
NPI assigned
May 23, 2017
Last updated
Aug 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002969A IN Primary

Addresses

Primary practice location

125 N Weinbach Ave
Evansville, IN 47711-6091

Mailing address

1020 W Wisconsin St
Sparta, WI 54656-2230
Phone (608) 269-8145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002969AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Care Chiropractic, LLC Chiropractor Current Accepting new patients
Leo J Bronston Chiropractor PastSince Sep 1, 2018 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1770011629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W WISCONSIN ST",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562230",
            "telephone_number": "608-269-8145",
            "fax_number": "608-269-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N WEINBACH AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477116091",
            "telephone_number": "812-470-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHEL",
        "first_name": "MATHEW",
        "middle_name": "JOHN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002969A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.