Individual provider Active NPI

Matthew Filtz, D.C.

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1831635234
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5237-12 Issued in WI
Practice address
2626 S Oneida St
Suite 2
Green Bay, WI 54304-5302
Phone
(920) 430-0933
NPI assigned
Jan 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5237-12 WI Primary

Addresses

Primary practice location

2626 S Oneida St
Suite 2
Green Bay, WI 54304-5302

Mailing address

2626 S Oneida St
Suite 2
Green Bay, WI 54304-5302
Phone (920) 430-0933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228001727 WI Practitioner - Chiropractic 8426332974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2822 Ramada Way
Suite 110
Green Bay, WI 54304-5730
Phone (920) 430-0933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5237-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Chiropractic Center, LLC Chiropractor CurrentSince Mar 13, 2017 Accepting new patients

Locations

2626 S Oneida St
Stop 2
Green Bay, WI 54304
Phone (920) 430-0933

2822 Ramada Way
#110
Green Bay, WI 54304
Phone (920) 430-0933

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": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1831635234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S ONEIDA ST",
            "address_2": "SUITE 2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045302",
            "telephone_number": "920-430-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S ONEIDA ST",
            "address_2": "SUITE 2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045302",
            "telephone_number": "920-430-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILTZ",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5237-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.