Individual provider Active NPI

Tonja Matthias, D.C.

  • Chiropractor
  • Fenton, MO
National Provider Identifier
1861720336
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2004028769 Issued in MO
Practice address
36 Fenton PLZ
Fenton, MO 63026-4110
Phone
(314) 574-1907
Fax
(636) 600-0670
NPI assigned
Nov 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2004028769 MO Primary

Addresses

Primary practice location

36 Fenton PLZ
Fenton, MO 63026-4110

Mailing address

36 Fenton PLZ
Fenton, MO 63026-4110
Phone (314) 574-1907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407000683 MO Practitioner - Chiropractic 8022065424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

558 Gravois Rd
Suite 201
Fenton, MO 63026-4153
Phone (314) 574-1907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Stop Chiropractic LLC Chiropractor CurrentSince Apr 18, 2022 Accepting new patients
Back on Track Eureka, LLC Chiropractor PastSince May 11, 2025 Accepting new patients

Locations

558 Gravois Rd
Ste 201
Fenton, MO 63026
Phone (314) 574-1907

36 Fenton Plz
Fenton, MO 63026
Phone (314) 574-1907

1600 Gravois Rd
High Ridge, MO 63049
Phone (314) 478-4475

Organizations & group practices 2

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": "1258761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1861720336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FENTON PLZ",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630264110",
            "telephone_number": "314-574-1907",
            "fax_number": "636-600-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 FENTON PLZ",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630264110",
            "telephone_number": "314-574-1907",
            "fax_number": "636-600-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHIAS",
        "first_name": "TONJA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-21",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004028769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.