Individual provider Active NPI

Molly J Matthes, D.C.

  • Chiropractor
  • Gretna, NE
National Provider Identifier
1851582936
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1461 Issued in NE
Practice address
11532 Willow Park Dr
Suite 300
Gretna, NE 68028-6947
Phone
(402) 715-4242
NPI assigned
Aug 5, 2007
Last updated
Aug 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 1461 NE Primary

Addresses

Primary practice location

11532 Willow Park Dr
Suite 300
Gretna, NE 68028-6947

Mailing address

11532 Willow Park Dr
Suite 300
Gretna, NE 68028-6947
Phone (402) 715-4242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000380 NE Practitioner - Chiropractic 4688760606 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

820 S 75TH St
Omaha, NE 68114-4623
Phone (402) 391-2477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1461NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sarpy Chiropractic - West O, LLC Chiropractor CurrentSince Jun 1, 2024 Accepting new patients
Victory Chiropractic and Wellness LLC Chiropractor CurrentSince Feb 17, 2025 Accepting new patients
Meylor Family Chiropractic, LLC Chiropractor PastSince Mar 26, 2014 Accepting new patients

Locations

16909 Burke St
Ste 124
Omaha, NE 68118
Phone (402) 933-4463

820 S 75th St
Omaha, NE 68114
Phone (402) 391-2477

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1851582936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11532 WILLOW PARK DR",
            "address_2": "SUITE 300",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680286947",
            "telephone_number": "402-715-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11532 WILLOW PARK DR",
            "address_2": "SUITE 300",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680286947",
            "telephone_number": "402-715-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHES",
        "first_name": "MOLLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.