Individual provider Active NPI

Matthew T McCabe, DC

  • Chiropractor
  • Hudson, WI
National Provider Identifier
1801821772
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4171 012 Issued in WI
Practice address
131 Carmichael Rd
Suite 202
Hudson, WI 54016-8269
Phone
(715) 386-7690
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4171 012 WI Primary

Addresses

Primary practice location

131 Carmichael Rd
Suite 202
Hudson, WI 54016-8269

Mailing address

131 Carmichael Rd
Suite 202
Hudson, WI 54016-8269
Phone (715) 386-7690

Other identifiers 1

IdentifierTypeStateIssuer
900335028012OtherWITAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000701 WI Practitioner - Chiropractic 5496831349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McCabe Chiropractic and Wellness Center IncGroup PAC ID 9234227570, 3 clinicians

Practice addresses (Care Compare)

131 Carmichael Rd
Suite 202
Hudson, WI 54016-8271
Phone (715) 386-7690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4171 012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gress Chiropractic Clinic, LLC Chiropractor PastSince Mar 20, 2007 Accepting new patients
Daulton Physical Therapy, LLC PastSince Dec 4, 2023 Accepting new patients

Organizations & group practices 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1801821772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CARMICHAEL RD",
            "address_2": "SUITE 202",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168269",
            "telephone_number": "715-386-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CARMICHAEL RD",
            "address_2": "SUITE 202",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168269",
            "telephone_number": "715-386-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "MATTHEW",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4171 012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "900335028012",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.