Matthew Charles Kirkham, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001779 Issued in IN

Practice address

2504 Monroe St
Laporte, IN 46350

Phone

(219) 326-5100

Fax

(219) 326-0180

NPI assigned

Aug 4, 2006

Last updated

Jan 13, 2011By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1998

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Back to Health Wellness Center, P.C,

  • Chiropractor
  • La Porte, IN
  • NPI 1922245836
  Medicare reassignment Authorized official
• 360 Integrated Medical Center, PC

  • General Practice Physician
  • La Porte, IN
  • NPI 1710459458
  Authorized official Same address or phone

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1841208865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 MONROE ST",
            "city": "LAPORTE",
            "state": "IN",
            "postal_code": "46350",
            "telephone_number": "219-326-5100",
            "fax_number": "219-326-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 MONROE ST",
            "city": "LAPORTE",
            "state": "IN",
            "postal_code": "46350",
            "telephone_number": "219-326-5100",
            "fax_number": "219-326-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKHAM",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200168750",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200377030A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000083782",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaan Khan, M.D.
• Jessica Ann Kidwell-Saboski, LSW
• Cary Kirk, RN
• Emily Kirk
• Delaney Rae Kirkendall, LSW
• Ava Danielle Kirkland, OTR
• Ashley Katherine Kirkwood, M.D.
• Danielle Kmiec, MSW, LSW
• George Larsen Kneller, M.D.
• Michael L. Komasinski, O.D.

• Chiropractor in La Porte, IN
• Providers in La Porte, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.