Matthew H Montgomery, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12201 Issued in TX

Practice address

116 E Heritage Dr
Suite 105
Tyler, TX 75703-5150

Phone

(903) 787-7529

Fax

(903) 787-7530

NPI assigned

Dec 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Montgomery Xpress Chiropractic PLLC

  • Primary Care Clinic/Center
  • Tyler, TX
  • NPI 1669719498
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1811233703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E HERITAGE DR STE 105",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035159",
            "telephone_number": "903-787-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E HERITAGE DR",
            "address_2": "SUITE 105",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035150",
            "telephone_number": "903-787-7529",
            "fax_number": "903-787-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MATTHEW",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Angela Monsivais, LCDC
• Joni Montee
• Mary Allison Montes, LVN
• Montgomery Xpress Chiropractic PLLC
• Connie Montgomery
• Megan Montgomery
• Orlando Afdon Montoya Jr., BSN, RN, CCRN
• Suzanna Moody, MMP
• Shad Moon
• Wendolyn Moon, LCDC

• Chiropractor in Tyler, TX
• Providers in Tyler, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.