Individual provider Active NPI

Matthew C Rich, DC

  • Chiropractor
  • Clearfield, PA
National Provider Identifier
1780759753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC8651 Issued in PA
Practice address
6247 Clearfield Woodland Hwy
Clearfield, PA 16830
Phone
(814) 765-8301
Fax
(814) 768-4735
NPI assigned
Nov 22, 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 DC8651 PA Primary

Addresses

Primary practice location

6247 Clearfield Woodland Hwy
Clearfield, PA 16830

Mailing address

PO Box 647
Clearfield, PA 16830
Phone (814) 765-8301

Other identifiers 1

IdentifierTypeStateIssuer
0018655500002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050718000430 PA Practitioner - Chiropractic 8527095918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6247 Clearfield Woodland Hwy
Clearfield, PA 16830-1004
Phone (814) 765-8301

6247 Clearfield Woodland Hwy
PO Box 647
Clearfield, PA 16830-0647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC8651PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew C. Rich Chiropractic LLC Chiropractor CurrentSince Dec 29, 2010 Accepting new patients

Locations

6247 Clearfield Woodland Hwy
Clearfield, PA 16830
Phone (814) 765-8301

6247 Clearfield Woodland Hwy
#H
Clearfield, PA 16830
Phone (814) 765-8301

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780759753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "16830",
            "telephone_number": "814-765-8301",
            "fax_number": "814-768-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6247 CLEARFIELD WOODLAND HWY",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "16830",
            "telephone_number": "814-765-8301",
            "fax_number": "814-768-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC8651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018655500002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

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.